Mizz Rae's LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MIZZ RAE'S LLC

Practice address

5278 Washington St.
West Roxbury, MA 02132

Phone

(617) 327-1041

NPI assigned

Dec 18, 2007

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Marnie R Harris

Title

Ceo - Executive

Phone

(617) 327-1041

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1528242237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5278 WASHINGTON ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021326338",
            "telephone_number": "617-327-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5278 WASHINGTON ST.",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "02132",
            "telephone_number": "617-327-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIZZ RAE'S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO - EXECUTIVE",
        "authorized_official_telephone_number": "617-327-1041",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Wetherbee Miller, M.D., PH.D.
• Michael James Miller, M.D.
• Thomas Jon Miller, CRNA
• Andrew F Mills, M.D.
• Michael K Miovic, M.D.
• Laura Burak Moderi, FNP
• Jessica Mongello
• Ashley Monteiro
• Constance Desmond Mooney, RD
• Melissa Ann Moore, LICSW

• Prosthetic/Orthotic Supplier in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Prosthetic/Orthotic Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.