Individual provider Active NPI

Monica Jane Zink, DNP-FNP-BC

  • Family Nurse Practitioner
  • Springfield, VA
National Provider Identifier
1710923362
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0017139851 Issued in VA
Practice address
5501 Backlick Rd
#105
Springfield, VA 22151
Phone
(703) 642-2273
Fax
(703) 564-6544
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 100394 CO
Family Nurse Practitioner 363LF0000X 0017139851 VA Primary

Addresses

Primary practice location

5501 Backlick Rd
#105
Springfield, VA 22151

Mailing address

5501 Backlick Rd
#105
Springfield, VA 22151
Phone (703) 642-2273

Other identifiers 1

IdentifierTypeStateIssuer
13355066MedicaidCO

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
100394COMDFamily Nurse Practitioner
0017139851VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boykin Chiropractic Office PC Past Accepting new patients
Eastern Plains Medical Clinic of Calhan Past Accepting new patients

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1710923362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 BACKLICK RD",
            "address_2": "#105",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22151",
            "telephone_number": "703-642-2273",
            "fax_number": "703-564-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 BACKLICK RD",
            "address_2": "#105",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22151",
            "telephone_number": "703-642-2273",
            "fax_number": "703-564-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINK",
        "first_name": "MONICA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "100394",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0017139851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13355066",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.