Active NPI
Patricia Q Magana
- Nurse's Aide
- Phoenix, AZ
National Provider Identifier
1174199475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 123 N 30TH Ave Unit 1
Phoenix, AZ 85009-5001 - Phone
- (862) 227-2630
- NPI assigned
- May 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Primary |
Addresses
Primary practice location
123 N 30TH Ave Unit 1
Phoenix, AZ 85009-5001
Mailing address
123 N 30TH Ave Unit 1
Phoenix, AZ 85009-5001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B14525265 | Other | AZ | DL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | drrayhite9846@gmail.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1174199475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 N 30TH AVE UNIT 1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850095001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 N 30TH AVE UNIT 1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850095001",
"telephone_number": "862-227-2630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGANA",
"first_name": "PATRICIA",
"middle_name": "Q",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-28",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DL",
"identifier": "B14525265",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "drrayhite9846@gmail.com",
"affiliation": "N",
"endpointDescription": "Nurse",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "121 N 30th Ave",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "85009",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.