Individual provider Active NPI

Emily Rose Zink-Lobo, APRN

  • Family Nurse Practitioner
  • Jacksonville Beach, FL
National Provider Identifier
1679087084
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9365823 Issued in FL
Practice address
228 3Rd Ave N Ste 100
Jacksonville Beach, FL 32250-7045
Phone
(904) 853-6130
NPI assigned
Nov 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9365823 FL Primary

Addresses

Primary practice location

228 3Rd Ave N Ste 100
Jacksonville Beach, FL 32250-7045

Mailing address

152 Laurel LN
Ponte Vedra Beach, FL 32082-3908
Phone (904) 333-6542

Other practice location 1

5978 Powers Ave
Jacksonville, FL 32217-2210
Phone (904) 399-2800

Other names 1

  • Ms. Emily Rose Zink Former name

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9365823FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC PastSince Jul 1, 2017 Accepting new patients
Planned Parenthood of Florida, Inc. Family PastSince Feb 17, 2016 Accepting new patients
North Florida Obstetrical and Gynecological Associates PA PastSince Mar 24, 2024 Accepting new patients
Planned Parenthood of North Florida, Inc. Past Accepting new patients

Organizations & group practices 4

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": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1679087084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 LAUREL LN",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823908",
            "telephone_number": "904-333-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 3RD AVE N STE 100",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322507045",
            "telephone_number": "904-853-6130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5978 Powers Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322172210",
            "country_code": "US",
            "telephone_number": "904-399-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZINK-LOBO",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9365823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ZINK",
            "middle_name": "ROSE",
            "prefix": "MS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.