Active NPI
Diane Lynn Christensen, RT
- Radiologic Technologist
- Parker, AZ
National Provider Identifier
1265647697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- CRT-12676
- Practice address
- 12033 Agency Rd
Parker, AZ 85344-7718 - Phone
- (928) 669-3380
- NPI assigned
- May 11, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | CRT-12676 | AZ | Primary |
| Radiologic Technologist | 247100000X | RRT 3630 | NM | |
| Radiologic Technologist | 247100000X | RHM 72399 | CA | |
| Mammography Radiologic Technologist | 2471M2300X | RHM 72399 | CA |
Addresses
Primary practice location
12033 Agency Rd
Parker, AZ 85344-7718
Mailing address
1836 S 221St Dr
Buckeye, AZ 85326-8529
Phone (805) 990-4260
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRT-12676 | AZ | MD | Radiologic Technologist |
| RHM 72399 | CA | MD | Radiologic Technologist |
| RRT 3630 | NM | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1265647697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 S 221ST DR",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853268529",
"telephone_number": "805-990-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12033 AGENCY RD",
"city": "PARKER",
"state": "AZ",
"postal_code": "853447718",
"telephone_number": "928-669-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "DIANE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "RT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "AZ",
"license": "CRT-12676",
"primary": true
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "NM",
"license": "RRT 3630",
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "CA",
"license": "RHM 72399",
"primary": false
},
{
"code": "2471M2300X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Mammography",
"state": "CA",
"license": "RHM 72399",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.