Individual provider Active NPI

Lynn Zink, NP

  • Nurse Practitioner
  • Shallotte, NC
National Provider Identifier
1265557706
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008223 Issued in NC
Practice address
341A Whiteville Rd NW
Shallotte, NC 28470-4507
Phone
(910) 567-6194
Fax
(910) 567-5342
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704196933 MI
Nurse Practitioner 363L00000X 5008223 NC Primary

Addresses

Primary practice location

341A Whiteville Rd NW
Shallotte, NC 28470-4507

Mailing address

PO Box 227
Newton Grove, NC 28366-0227
Phone (910) 567-6194

Other identifiers 5

IdentifierTypeStateIssuer
4988590MedicaidMI
4988615MedicaidMI
LZ196933OtherBLUE CROSS BLUE SHIELD
P00429854OtherRAILROAD MEDICARE
4988624MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160315003114 NC Practitioner - Nurse Practitioner 3577669548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

341 A Whiteville Rd NW
Shallotte, NC 28470-4507
Phone (910) 754-8731

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Community Health Council Inc Current Accepting new patients
Tri County Community Health Council Inc CurrentSince Feb 1, 2016 Accepting new patients
Tri County Community Health Council Inc CurrentSince Feb 1, 2016 Accepting new patients
Statcare PC Nurse Practitioner Past Accepting new patients
Stat Care PC Past Accepting new patients
Tri County Community Health Council Inc Past Accepting new patients

Locations

4311 Old Ocean Hwy
Bolivia, NC 28422

3331 Easy St
Dunn, NC 28334

341A Whiteville Rd NW
Shallotte, NC 28470
Phone (910) 754-8731

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1265557706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "NEWTON GROVE",
            "state": "NC",
            "postal_code": "283660227",
            "telephone_number": "910-567-6194",
            "fax_number": "910-567-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341A WHITEVILLE RD NW",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704507",
            "telephone_number": "910-567-6194",
            "fax_number": "910-567-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINK",
        "first_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704196933",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4988590",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4988615",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "LZ196933",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00429854",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4988624",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

Verify at the official NPI Registry.