TAMMY MIRKAZEMI (NPI# 1003359696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003359696 |
| Entity Type | Individual |
| Full Name | TAMMY MIRKAZEMI |
| Practice Address |
13039 W Cheery Lynn Rd Avondale AZ 85392-6775 |
| Practice Telephone | 6233267137 |
| Mailing Telephone | 6233267137 |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | BH4966 | AZ | Nursing Service Related Providers |
| Street Address |
13039 W CHEERY LYNN RD |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85392-6775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
| 1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
| 1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| 1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
| Find all providers in zip 85392 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710598420 | Estrella of Cascadia LLC | Nursing Home Administrator | 2020 N 95th Ave, Phoenix, AZ 85037-4334 | 2020-08-14 |
| 1801404298 | Elaines Residential Home | Nursing Home Administrator | 521 S Williams Pl, Chandler, AZ 85225-6455 | 2020-07-21 |
| 1346867231 | Floraeden Yerkovich | Nursing Home Administrator | 2102 N Chestnut Cir, Mesa, AZ 85213-2216 | 2020-06-26 |
| 1558903088 | Emil Usvat | Nursing Home Administrator | 7878 E Vista Bonita Dr, Scottsdale, AZ 85255-4123 | 2019-10-16 |
| 1013570753 | Helen Dike | Nursing Home Administrator | 320 E Oak St, Globe, AZ 85501-2145 | 2019-04-18 |
| 1861985277 | Aniisha Sarkissian | Nursing Home Administrator | 2043 M Cave Creek, Phoenix, AZ 85067-3171 | 2018-06-11 |
| 1871029090 | Carolyn Wanyama | Nursing Home Administrator | 44880 W Portabello Road, Maricopa, AZ 85139 | 2017-05-08 |
| 1124561410 | Arketa Zambakari | Nursing Home Administrator | 4123 N 21st St, Phoenix, AZ 85016-6109 | 2016-11-18 |
| 1841742806 | Ladywinnie Amoo Oulanyah | Nursing Home Administrator | 3230 N Craycroft Rd Apt 1, Tucson, AZ 85712-5246 | 2016-10-25 |
| 1073996179 | Elsa E. Tesfasion | Nursing Home Administrator | 9003 W Charleston Ave, Peoria, AZ 85382-8106 | 2015-07-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TAMMY MIRKAZEMI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.