Individual provider Active NPI

James Archie Ramaglino, FNP-C

  • Family Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1295722528
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9825 Issued in AZ
Practice address
3110 Clearwater Dr Ste B
Prescott, AZ 86305-7177
Phone
(623) 516-8252
Fax
(623) 516-8253
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9825 AZ Primary

Addresses

Primary practice location

3110 Clearwater Dr Ste B
Prescott, AZ 86305-7177

Mailing address

5281 N 99TH Ave Ste 100
Glendale, AZ 85305-2209
Phone (623) 516-8252

Other practice location 1

1945 Estrella Rd
Prescott, AZ 86305-5276
Phone (928) 458-0194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: arizonaneurospine.jamesaramaglino@147247.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1295722528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 N 99TH AVE STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052209",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 CLEARWATER DR STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057177",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 Estrella Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863055276",
            "country_code": "US",
            "telephone_number": "928-458-0194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMAGLINO",
        "first_name": "JAMES",
        "middle_name": "ARCHIE",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.