Individual provider Active NPI

Sincy Mariam Zachariah, FNP-C

  • Family Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1013880384
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1001541 Issued in TX
Practice address
802 US Highway 80 E
Mesquite, TX 75149-1555
Phone
(469) 827-7300
NPI assigned
Sep 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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 1001541 TX Primary

Addresses

Primary practice location

802 US Highway 80 E
Mesquite, TX 75149-1555

Mailing address

4101 Maidstone Dr
Garland, TX 75043-7285
Phone (972) 246-7628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251212000134 TX Practitioner - Nurse Practitioner 3375037716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shibli Family Medicine and Obesity Clinic PLLCGroup PAC ID 7113318577, 3 clinicians

Practice addresses (Care Compare)

802 E Hwy 80
Mesquite, TX 75149-1555
Phone (469) 827-7300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1001541TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shibli Family Medicine and Obesity Clinic PLLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

802 US Highway 80 E
Mesquite, TX 75149
Phone (469) 556-7186

Interoperability endpoints

  • Direct secure messaging: sincy.zachariah.1@25492.direct.athenahealth.com

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": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1013880384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MAIDSTONE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750437285",
            "telephone_number": "972-246-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 US HIGHWAY 80 E",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491555",
            "telephone_number": "469-827-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARIAH",
        "first_name": "SINCY",
        "middle_name": "MARIAM",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1001541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.