Ranissa Lee

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

797515 Issued in AZ

Practice address

1/2 Mile SW of Cove Chapter House
Red Valley, AZ 86544

Phone

(505) 608-5805

Fax

(505) 564-2550

NPI assigned

Apr 1, 2013

Last updated

Apr 1, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• High Desert Home Health Care

  • Home Health Agency
  • Red Valley, AZ
  • NPI 1871813634
  NPD (past) Authorized official

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1225371958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 454",
            "city": "RED VALLEY",
            "state": "AZ",
            "postal_code": "865440454",
            "telephone_number": "505-608-5805",
            "fax_number": "505-564-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1/2 MILE SW OF COVE CHAPTER HOUSE",
            "city": "RED VALLEY",
            "state": "AZ",
            "postal_code": "86544",
            "telephone_number": "505-608-5805",
            "fax_number": "505-564-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RANISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "797515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "797515",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• High Desert Home Health Care
• Jerome Padilla

• Non-emergency Medical Transport (VAN) in Red Valley, AZ
• Providers in Red Valley, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.