Individual provider Active NPI

Elise Zink

  • Case Management Registered Nurse
  • Marysville, CA
National Provider Identifier
1649561663
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
790616 Issued in CA
Practice address
5730 Packard Ave
Suite #100
Marysville, CA 95901-7118
Phone
(530) 749-6366
Fax
(530) 749-6397
NPI assigned
Apr 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 790616 CA Primary

Addresses

Primary practice location

5730 Packard Ave
Suite #100
Marysville, CA 95901-7118

Mailing address

2249 12TH Ave
Sacramento, CA 95818-4329
Phone (530) 749-6329

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

State licenses

LicenseStateTypeSpecialty
790616CAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1649561663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 12TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958184329",
            "telephone_number": "530-749-6329",
            "fax_number": "530-749-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 PACKARD AVE",
            "address_2": "SUITE #100",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959017118",
            "telephone_number": "530-749-6366",
            "fax_number": "530-749-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINK",
        "first_name": "ELISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "790616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.