Active NPI
Mary Zink, NP
- Family Medicine Physician
- New Port Richey, FL
National Provider Identifier
1427568864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1152962
- Practice address
- 5334 Aspen St
New Port Richey, FL 34652-4001 - Phone
- (727) 848-7789
- NPI assigned
- Oct 11, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1152962 | FL | Primary |
Addresses
Primary practice location
5334 Aspen St
New Port Richey, FL 34652-4001
Mailing address
5334 Aspen St
New Port Richey, FL 34652-4001
Phone (727) 848-7789
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1152962 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507680000000",
"number": "1427568864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5334 ASPEN ST",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346524001",
"telephone_number": "727-848-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5334 ASPEN ST",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346524001",
"telephone_number": "727-848-7789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINK",
"first_name": "MARY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-11",
"last_updated": "2017-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "1152962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.