Individual provider Active NPI

Amelia Reay, CPP, LNA

  • Public Health or Welfare Agency
  • Phoenix, AZ
National Provider Identifier
1285210708
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
WB4461 Issued in AZ
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

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
WB4460AZMDPersonal Emergency Response Attendant
LNA1000031276AZMDLicensed Practical Nurse
WB4461AZMDPublic Health or Welfare Agency
26355517AZMDCorporate 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.

Verify at the official NPI Registry.