Active NPI
Ryan Louis Zink, MS, ATC, LAT
- Athletic Trainer
- Cookeville, TN
National Provider Identifier
1174732507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT 0000001084
- Practice address
- 1160 N Peachtree-Room # 114
Cookeville, TN 38505-0001 - Phone
- (931) 372-3968
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT 0000001084 | TN | Primary |
Addresses
Primary practice location
1160 N Peachtree-Room # 114
Cookeville, TN 38505-0001
Mailing address
70 E 18TH St Apt D
Cookeville, TN 38501-4893
Phone (620) 617-4146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 0000001084 | TN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174732507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 E 18TH ST APT D",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385014893",
"telephone_number": "620-617-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 N PEACHTREE-ROOM # 114",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385050001",
"telephone_number": "931-372-3968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINK",
"first_name": "RYAN",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"credential": "MS, ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "AT 0000001084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.