Anissa Dusenberry, R.R.T.

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

99243 Issued in TX

Practice address

7409 Raleigh Ave
Lubbock, TX 79424-2303

Phone

(806) 407-6560

NPI assigned

Oct 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Anissa Wright Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rad X Mobile Imaging LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Lubbock, TX
  • NPI 1720637325
  NPD Authorized official

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1013484286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 INDIANA AVE",
            "address_2": "PMB 258",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794136111",
            "telephone_number": "806-603-3434",
            "fax_number": "844-723-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 RALEIGH AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242303",
            "telephone_number": "806-407-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSENBERRY",
        "first_name": "ANISSA",
        "credential": "R.R.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "TX",
            "license": "458493",
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "TX",
            "license": "99243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANISSA",
            "last_name": "WRIGHT",
            "credential": "R.R.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dennis Efren Duriex, M.D.
• Kellyanne Durkin
• Morgan Durley, SLP INTERN
• Jean Rick Duroseau
• Laura Durrett
• Jordan Andrew Dutton
• Leslie Ruth Dutton, M.S., CCC/SLP, PHD
• Brittany Reagan Dyal, PTA
• Michael Sanderson Dyal, D.D.S.
• Jack W. Dyer, M.D.

• All providers in Lubbock, TX
• Radiography Radiologic Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.