Individual provider Active NPI

Jamie Zoe Mulazim, M. ED.

  • Driver
  • Warrensville Heights, OH
National Provider Identifier
1831894104
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
JBV1765 Issued in OH
Practice address
13139 Berry Blvd
Warrensville Heights, OH 44128-6302
Phone
(216) 702-4569
NPI assigned
Apr 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X JBV1765 OH Primary

Addresses

Primary practice location

13139 Berry Blvd
Warrensville Heights, OH 44128-6302

Mailing address

13139 Berry Blvd
Warrensville Heights, OH 44128-6302
Phone (216) 702-4569

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
JBV1765OHMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1831894104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13139 BERRY BLVD",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441286302",
            "telephone_number": "216-702-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13139 BERRY BLVD",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441286302",
            "telephone_number": "216-702-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULAZIM",
        "first_name": "JAMIE",
        "middle_name": "ZOE",
        "name_prefix": "Mrs.",
        "credential": "M. ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": "JBV1765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.