Mary Lynn Zaremba, NP, RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704204064 Issued in MI

Practice address

1210 10TH Ave
Port Huron, MI 48060-3406

Phone

(810) 984-8470

Fax

(810) 984-3919

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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.

• Health Emergency Assistance of Detroit

  dba Corktown Health

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1285092767
  Medicare reassignment

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1609964857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 10TH AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603406",
            "telephone_number": "810-984-8470",
            "fax_number": "810-984-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 10TH AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603406",
            "telephone_number": "810-984-8470",
            "fax_number": "810-984-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAREMBA",
        "first_name": "MARY LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704204064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4973120",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Young Men's Christian Association of the Blue Water Area (Blue Water YMCA)
• Gwenda Louise Young, LPC
• Janene Desiree Young
• Johnson K Zacharias, MD
• Abida Zafar, MD
• Sandra J Zarzycki, RPH
• Tracy Marie Zdrowski, LCOTA
• Zieger Orthopaedics PLLC
• Zieger Orthopaedics PLLC
• Deborah Lynn Ziegler

• Nurse Practitioner in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.