Individual provider Active NPI

Agnieszka Zakoscielna, NP

  • Nurse Practitioner
  • Sterling Heights, MI
National Provider Identifier
1114763471
Registry record updated Jul 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704316060 Issued in MI
Practice address
44783 Marigold Dr
Sterling Heights, MI 48314-1225
Phone
(248) 635-5563
NPI assigned
Jul 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704316060 MI Primary

Addresses

Primary practice location

44783 Marigold Dr
Sterling Heights, MI 48314-1225

Mailing address

44783 Marigold Dr
Sterling Heights, MI 48314-1225
Phone (248) 635-5563

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
4704316060MIMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: agnieszka.zakoscielna.1@8366.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1720224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1114763471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44783 MARIGOLD DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141225",
            "telephone_number": "248-635-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44783 MARIGOLD DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141225",
            "telephone_number": "248-635-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKOSCIELNA",
        "first_name": "AGNIESZKA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-06",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704316060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.