NPIMap

Individual provider Active NPI

Judith Marie Zink, MSN, RN, APN-BC

  • Family Nurse Practitioner
  • Simpsonville, SC
National Provider Identifier
1881760841
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F2149 Issued in SC
Practice address
103 Fairview Pointe Dr
Simpsonville, SC 29681-3223
Phone
(864) 967-4982
Fax
(864) 967-8465
NPI assigned
Nov 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 F2149 SC Primary
Family Nurse Practitioner 363LF0000X RN082737 NP GA

Addresses

Primary practice location

103 Fairview Pointe Dr
Simpsonville, SC 29681-3223

Mailing address

50 Cobblestone Rd
Greenville, SC 29615-3944
Phone (864) 234-5512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051115000963 SC Practitioner - Nurse Practitioner 8123047560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Physician Services IncGroup PAC ID 6608826821, 106 clinicians

Practice addresses (Care Compare)

1200 Brookfield Blvd
Suite 400B
Greenville, SC 29607-6583
Phone (864) 605-3721

910 N Main St
Fountain Inn, SC 29644-1320
Phone (864) 967-4982

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN082737 NPGAMDFamily Nurse Practitioner
F2149SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Physician Services Inc CurrentSince Apr 1, 2014 Accepting new patients
St Francis Physician Services Inc CurrentSince Apr 1, 2014 Accepting new patients
St Francis Physician Services Inc Past Accepting new patients
Doctors Care, PA Past Accepting new patients

Locations

910 N Main St
Ste 100
Fountain Inn, SC 29644
Phone (864) 967-4982

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

103 Fairview Rd
Simpsonville, SC 29681
Phone (864) 881-8500

Interoperability endpoints

  • Direct secure messaging: jzink1157186@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881760841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COBBLESTONE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153944",
            "telephone_number": "864-234-5512",
            "fax_number": "864-967-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FAIRVIEW POINTE DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813223",
            "telephone_number": "864-967-4982",
            "fax_number": "864-967-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINK",
        "first_name": "JUDITH",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F2149",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN082737 NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.