KENNETH E ZIMMERMAN PMHNP
NPI 1679395552
Nurse Practitioner - Psychiatric/Mental Health in Eugene, OR

Active since October 30, 2024
66 CLUB RD STE 360, EUGENE, OR 97401(541) 912-1295(541) 972-8779 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth E Zimmerman Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH E ZIMMERMAN PMHNP (NPI 1679395552) is a healthcare organization registered as a psychiatric/mental health in Eugene, Oregon and active in the NPI registry since October 2024. The organization lists Kenneth E Zimmerman, Owner, as its authorized official.

NPPES Registry Identity

NPI1679395552
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKENNETH E ZIMMERMAN PMHNP
Location Address66 CLUB RD STE 360Eugene, OR 97401-2463
Mailing Address66 Club Rd Ste 360Eugene, OR 97401-2463 · (541) 912-1295 · Fax (541) 972-8779
Fax(541) 972-8779
Organization SubpartNo
Authorized OfficialKenneth E ZimmermanOwner · (541) 912-1295
Enumeration DateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
NPI 1679395552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
66 CLUB RD STE 360, Eugene, OR 97401

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
66 CLUB RD STE 360
EUGENE, OR 97401
Registered Nurse (Psychiatric/Mental Health, Adult)
66 CLUB RD STE 360
EUGENE, OR 97401
Nurse Practitioner (Psychiatric/Mental Health)
66 CLUB RD STE 360
EUGENE, OR 97401
Nurse Practitioner (Psychiatric/Mental Health)
66 CLUB RD STE 360
EUGENE, OR 97401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth E Zimmerman Pmhnp's NPI number?

The NPI number for Kenneth E Zimmerman Pmhnp is 1679395552. It was assigned to this organization in the NPPES registry on October 30, 2024.

Where is Kenneth E Zimmerman Pmhnp located?

Kenneth E Zimmerman Pmhnp is located at 66 Club Rd Ste 360, Eugene, OR 97401. The listed phone number is (541) 912-1295.

What is Kenneth E Zimmerman Pmhnp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kenneth E Zimmerman Pmhnp was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.