Individual provider Active NPI

Ramona Nicoleta Cretu

  • Nursing Home Administrator
  • Cave Creek, AZ
National Provider Identifier
1295441434
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
AL12380H Issued in AZ
Practice address
4550 E Bajada Rd
Cave Creek, AZ 85331-2674
Phone
(623) 556-7617
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X AL12380H AZ Primary

Addresses

Primary practice location

4550 E Bajada Rd
Cave Creek, AZ 85331-2674

Mailing address

36237 N 33Rd Ave
Phoenix, AZ 85086-8381
Phone (623) 556-7617

Other identifiers 1

IdentifierTypeStateIssuer
157410MedicaidAZ

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
AL12380HAZMDNursing Home Administrator

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1295441434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36237 N 33RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850868381",
            "telephone_number": "623-556-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E BAJADA RD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853312674",
            "telephone_number": "623-556-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRETU",
        "first_name": "RAMONA",
        "middle_name": "NICOLETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "AZ",
            "license": "AL12380H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157410",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.