Active NPI
Jennifer Ralph
- Technician
- Scottsdale, AZ
National Provider Identifier
1407576366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- License
- 02679
- Practice address
- 9700 N 91St St Ste B112
Scottsdale, AZ 85258-5036 - Phone
- (480) 869-4666
- NPI assigned
- Aug 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | 02679 | AZ | Primary |
Addresses
Primary practice location
9700 N 91St St Ste B112
Scottsdale, AZ 85258-5036
Mailing address
9700 N 91St St Ste B112
Scottsdale, AZ 85258-5036
Phone (480) 869-4666
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 |
|---|---|---|---|
| 02679 | AZ | MD | Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WP Medical LLC | Current | Accepting new patients |
Locations
9700 N 91st St
Ste B112
Scottsdale, AZ 85258
Phone (480) 869-4666
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Scottsdale, AZ
- NPI 1487374567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1407576366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9700 N 91ST ST STE B112",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585036",
"telephone_number": "480-869-4666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 N 91ST ST STE B112",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585036",
"telephone_number": "480-869-4666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALPH",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "AZ",
"license": "02679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.