Mirame Health LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MIRAME HEALTH LLC

Practice address

5654 W Bell Rd
Glendale, AZ 85308-3882

Phone

(480) 980-3298

Fax

(480) 546-3821

NPI assigned

Mar 3, 2022

Organization subpart

No

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

Authorized official

Name

Jacqueline Lizardo Guzman, FNP-BCNPI 1497949499

Title

Family Nurse Practitioner/Owner

Phone

(480) 980-3298

Specialties & licenses 1

Addresses

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
  • Avondale, AZ
  • NPI 1114643343
  NPD tax ID

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": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1437806189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15095 W SELLS DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957701",
            "telephone_number": "469-500-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5654 W BELL RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083882",
            "telephone_number": "480-980-3298",
            "fax_number": "480-546-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "LIZARDO",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "480-980-3298",
        "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": []
}

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• Mira Vita Metamophosis, LLC
• Adriana Mirabelli
• David B Mires
• Miriam's Adult Care Home
• Hannah Mirimanian, DPT
• Aimee Mishler, PHARMD
• Sasha Mishler

• Family Nurse Practitioner in Glendale, AZ
• Providers in Glendale, 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 Mar 3, 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.