Individual provider Active NPI

Marlene C Zink, RD, LDN

  • Registered Dietitian
  • Stuart, FL
National Provider Identifier
1619348026
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND 7333 Issued in FL
Practice address
1807 S Kanner Hwy
Stuart, FL 34994-7204
Phone
(772) 286-6260
Fax
(772) 286-6912
NPI assigned
Oct 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND 7333 FL Primary

Addresses

Primary practice location

1807 S Kanner Hwy
Stuart, FL 34994-7204

Mailing address

3010 SW Solitaire Palm Dr
Palm City, FL 34990-6302
Phone (772) 215-1222

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

State licenses

LicenseStateTypeSpecialty
ND 7333FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Coach- Rd, LLC Dietitian, Registered Past Accepting new patients
Coastal Dialysis Center, LLC PastSince Jun 10, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1619348026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 SW SOLITAIRE PALM DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349906302",
            "telephone_number": "772-215-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349947204",
            "telephone_number": "772-286-6260",
            "fax_number": "772-286-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINK",
        "first_name": "MARLENE",
        "middle_name": "C",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 7333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.