Active NPI
Irina Weidman, RT R, CT, MR
- Computed Tomography Radiologic Technologist
- Safety Harbor, FL
National Provider Identifier
1386150647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Computed Tomography Radiologic Technologist
- License
- 439406
- Practice address
- 222 Los Prados Dr
Safety Harbor, FL 34695-3332 - Phone
- (941) 243-8600
- NPI assigned
- Dec 22, 2017
- 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 |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | 439406 | ||
| Radiography Radiologic Technologist | 2471C3402X | CRT67903 | FL | |
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | 439406 | ||
| Computed Tomography Radiologic Technologist | 2471C3401X | 439406 | Primary |
Addresses
Primary practice location
222 Los Prados Dr
Safety Harbor, FL 34695-3332
Mailing address
222 Los Prados Dr
Safety Harbor, FL 34695-3332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 439406 | Other | ARRT |
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 |
|---|---|---|---|
| CRT67903 | FL | MD | Radiography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513900800000",
"number": "1386150647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 LOS PRADOS DR",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346953332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 LOS PRADOS DR",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346953332",
"telephone_number": "941-243-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIDMAN",
"first_name": "IRINA",
"credential": "RT R, CT, MR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-22",
"last_updated": "2017-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": null,
"license": "439406",
"primary": false
},
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "FL",
"license": "CRT67903",
"primary": false
},
{
"code": "2471M1202X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": null,
"license": "439406",
"primary": false
},
{
"code": "2471C3401X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Computed Tomography",
"state": null,
"license": "439406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARRT",
"identifier": "439406",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Safety Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.