TAMMY MIRKAZEMI
NPI 1003359696
Nursing Home Administrator in Avondale, AZ

Q: What is Tammy Mirkazemi's NPI number?

The NPI number for Tammy Mirkazemi is 1003359696. It was assigned to this individual provider in the NPPES registry on November 30, 2016.

Q: What is Tammy Mirkazemi's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

Q: When was this NPI record last updated?

The NPPES record for Tammy Mirkazemi was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 30, 2016

13039 W CHEERY LYNN RD, AVONDALE, AZ 85392(623) 326-7137 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tammy Mirkazemi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMMY MIRKAZEMI (NPI 1003359696) is an individual nursing home administrator provider in Avondale, Arizona, licensed in Arizona (BH4966) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1003359696

Entity TypeIndividualFemale

Primary Taxonomy376G00000X

Provider Legal NameTAMMY MIRKAZEMI

Location Address13039 W CHEERY LYNN RDAvondale, AZ 85392-6775

Mailing Address13039 W Cheery Lynn RdAvondale, AZ 85392-6775 · (623) 326-7137

Phone(623) 326-7137

Sole ProprietorYes

Enumeration DateNovember 30, 2016

✔ NPI 1003359696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Home AdministratorNursing Service Related Providers

Taxonomy Code376G00000X

License✔ Licensed in AZ · BH4966

Definition

An individual, often licensed by the state, who is responsible for the management of a nursing home.

13039 W CHEERY LYNN RD, Avondale, AZ 85392

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tammy Mirkazemi's NPI number?

The NPI number for Tammy Mirkazemi is 1003359696. It was assigned to this individual provider in the NPPES registry on November 30, 2016.

Where is Tammy Mirkazemi located?

Tammy Mirkazemi practices at 13039 W Cheery Lynn Rd, Avondale, AZ 85392. The listed phone number is (623) 326-7137.

What is Tammy Mirkazemi's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

When was this NPI record last updated?

The NPPES record for Tammy Mirkazemi was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.