Alice Walker Zeman

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

4005 Galantis Dr Apt 308D
Morehead City, NC 28557-0107

Phone

(843) 289-9218

NPI assigned

Apr 17, 2023

Reactivated

Dec 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Crystal Coast Wellness and Performance CenterGroup PAC ID 8527489913, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Crystal Coast Wellness and Performance Center

  • Registered Dietitian
  • Morehead City, NC
  • NPI 1679104293

  GA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1356037840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 GALANTIS DR APT 308D",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285570107",
            "telephone_number": "843-289-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 GALANTIS DR APT 308D",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285570107",
            "telephone_number": "843-289-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEMAN",
        "first_name": "ALICE",
        "middle_name": "WALKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2024-12-18",
        "certification_date": "2023-04-17",
        "deactivation_date": "2024-11-19",
        "reactivation_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Yoder, RDN, LDN
• Maureen V Young, PA-C
• Shannen Young
• Juozas Antanas Zavadzkas, M.D.
• Mark J Zawodniak, MD
• Hanzhu Zhang, PT, DPT

• Student in an Organized Health Care Education/Training Program in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Student in an Organized Health Care Education/Training Program in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.