Individual provider Active NPI

Donald Robert Zinno, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1750831137
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010758 Issued in KY
Practice address
100 Mallard Creek Rd Ste 406
Louisville, KY 40207-5166
Phone
(502) 895-4607
NPI assigned
Oct 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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 3010758 KY Primary

Addresses

Primary practice location

100 Mallard Creek Rd Ste 406
Louisville, KY 40207-5166

Mailing address

100 Mallard Creek Rd Ste 406
Louisville, KY 40207-5166
Phone (502) 895-4607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170214001138 KY Practitioner - Nurse Practitioner 2567745755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialistsmat PSCGroup PAC ID 7810307634, 6 clinicians

Practice addresses (Care Compare)

110 Chase Way
Suite 2
Elizabethtown, KY 42701-7827
Phone (502) 212-0071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3010758KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialistsmat PSC CurrentSince Feb 7, 2022 Accepting new patients

Locations

110 Chase Way
Ste 2
Elizabethtown, KY 42701
Phone (502) 212-0071

3310 Ruckriegel Pkwy
Louisville, KY 40299
Phone (502) 212-0071

Organizations & group practices 1

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": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1750831137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MALLARD CREEK RD STE 406",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075166",
            "telephone_number": "502-895-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MALLARD CREEK RD STE 406",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075166",
            "telephone_number": "502-895-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINNO",
        "first_name": "DONALD",
        "middle_name": "ROBERT",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.