Mirame Health LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MIRAME HEALTH LLC

Practice address

10320 W McDowell Rd Ste 5015
Avondale, AZ 85392-4869

Phone

(623) 980-2150

NPI assigned

Oct 19, 2022

Organization subpart

No

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

Authorized official

Name

Jacqueline Guzman, FNP-BCNPI 1497949499

Title

Family Nurse Practitioner

Phone

(623) 980-2150

Specialties & licenses 1

Addresses

Other names 1

• MiraMe Health Former legal business name

Tax ID family

Mirame Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mirame Health LLC

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1437806189
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Lizardo Guzman, ARNP

  • Family Nurse Practitioner
  • Avondale, AZ
  • NPI 1497949499
  NPD Authorized official

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1114643343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD STE 5015",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924869",
            "telephone_number": "623-980-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD STE 5015",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924869",
            "telephone_number": "623-980-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "623-980-2150",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MiraMe Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jada Miller, ED.S.
• Jennifer Miller, LCSW
• Patrick Todd Theodore Miller
• Ti'Ara Minatee
• Mindflex Behavioral Health LLC
• Juan Luis Miranda, PA
• Tammy Mirkazemi
• Theodore Jon Miron, PSY.S.
• James Mitchell
• MK Care Connections LLC

• Family Nurse Practitioner in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.