Provider Demographics
NPI:1518996636
Name:ZIEGELMEYER, JOAN (ARNP)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:ZIEGELMEYER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:
Other - Last Name:MESSMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:206 ALBRIGHT HEALTH CTR
Mailing Address - Street 2:NORTHERN KENTUCKY UNIVERSITY
Mailing Address - City:NEWPORT
Mailing Address - State:KY
Mailing Address - Zip Code:41099-0001
Mailing Address - Country:US
Mailing Address - Phone:859-572-5579
Mailing Address - Fax:859-572-1934
Practice Address - Street 1:206 ALBRIGHT HEALTH CTR
Practice Address - Street 2:NORTHERN KENTUCKY UNIVERSITY
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41099-0001
Practice Address - Country:US
Practice Address - Phone:885-957-2557
Practice Address - Fax:859-572-1934
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2779P363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78027794Medicaid
KY500009056OtherRAILROAD MEDICARE
KYP00866122OtherRAILROAD MEDICARE
KY008580065Medicare PIN
KY78027794Medicaid
KYS70297Medicare UPIN