Individual provider Active NPI

Mariam Zara

  • Pediatric Nurse Practitioner
  • Auburn Hills, MI
National Provider Identifier
1194605857
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
4704354438 Issued in MI
Practice address
2240 N Opdyke Rd
Auburn Hills, MI 48326-2435
Phone
(248) 289-7400
NPI assigned
Sep 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 4704354438 MI Primary

Addresses

Primary practice location

2240 N Opdyke Rd
Auburn Hills, MI 48326-2435

Mailing address

15062 Oak Knoll CT
Sterling Heights, MI 48312-5779

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
4704354438MIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Country Creek Pediatrics, PLLC PastSince Sep 8, 2025 Accepting new patients
Iha Health Services Corporation Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11246/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mariam.zara.1@11246.direct.athenahealth.com

Organizations & group practices 2

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": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1194605857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15062 OAK KNOLL CT",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 N OPDYKE RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262435",
            "telephone_number": "248-289-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARA",
        "first_name": "MARIAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704354438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.