Individual provider Active NPI

Tara Ziecina, FNP-C

  • Family Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1174098198
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704254838 Issued in MI
Practice address
1310 Greenwood Ave
Jackson, MI 49203-3077
Phone
(517) 962-0123
Fax
(517) 201-8067
NPI assigned
Oct 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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 4704254838 MI Primary

Addresses

Primary practice location

1310 Greenwood Ave
Jackson, MI 49203-3077

Mailing address

1310 Greenwood Ave
Jackson, MI 49203-3077
Phone (517) 962-0123

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

State licenses

LicenseStateTypeSpecialty
4704254838MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Christian Health Pediatrics PastSince Jul 9, 2025 Accepting new patients
Lenae E Vanwagnen MD LLC Pediatrics PastSince Apr 6, 2025 Accepting new patients
Jon C. Herbener, M.D.,P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tziecina451368@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/15084/brand/2/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1174098198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 GREENWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033077",
            "telephone_number": "517-962-0123",
            "fax_number": "517-201-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 GREENWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033077",
            "telephone_number": "517-962-0123",
            "fax_number": "517-201-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIECINA",
        "first_name": "TARA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704254838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.