Active NPI
Amelia Reay, CPP, LNA
- Public Health or Welfare Agency
- Phoenix, AZ
National Provider Identifier
1285210708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- WB4461
- Practice address
- 11022 S 51St St Ste 100
Phoenix, AZ 85044-1789 - Phone
- (480) 912-1199
- NPI assigned
- Mar 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | WB4460 | AZ | |
| Licensed Practical Nurse | 164W00000X | LNA1000031276 | AZ | |
| Public Health or Welfare Agency | 251K00000X | WB4461 | AZ | Primary |
| Corporate Health Clinic/Center | 261QC1800X | 26355517 | AZ |
Addresses
Primary practice location
11022 S 51St St Ste 100
Phoenix, AZ 85044-1789
Mailing address
11022 S 51St St Ste 100
Phoenix, AZ 85044-1789
Phone (480) 912-1199
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amelia@progressivetesting.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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WB4460 | AZ | MD | Personal Emergency Response Attendant |
| LNA1000031276 | AZ | MD | Licensed Practical Nurse |
| WB4461 | AZ | MD | Public Health or Welfare Agency |
| 26355517 | AZ | MD | Corporate Health Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1285210708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11022 S 51ST ST STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850441789",
"telephone_number": "480-912-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11022 S 51ST ST STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850441789",
"telephone_number": "480-912-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAY",
"first_name": "AMELIA",
"credential": "CPP, LNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-23",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "AZ",
"license": "WB4460",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AZ",
"license": "LNA1000031276",
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "AZ",
"license": "WB4461",
"primary": true
},
{
"code": "261QC1800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Corporate Health",
"state": "AZ",
"license": "26355517",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amelia@progressivetesting.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11022 S 51st St Ste 100",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850441789",
"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 Mar 23, 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.