Individual provider Active NPI

Carla Raina Sloan, RPA,RT(R)(M)

  • Radiology Practitioner Assistant
  • Greensboro, NC
National Provider Identifier
1467616797
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
License
04NC1094 Issued in NC
Practice address
1414 Yanceyville St Ste 200
Greensboro, NC 27405-6963
Phone
(336) 895-1598
Fax
(336) 390-2170
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X NC
Radiology Practitioner Assistant 243U00000X 04NC1094 NC Primary

Addresses

Primary practice location

1414 Yanceyville St Ste 200
Greensboro, NC 27405-6963

Mailing address

1414 Yanceyville St Ste 200
Greensboro, NC 27405-6963
Phone (336) 895-1598

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
04NC1094NCMDRadiology Practitioner Assistant

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1467616797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 YANCEYVILLE ST STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056963",
            "telephone_number": "336-895-1598",
            "fax_number": "336-390-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 YANCEYVILLE ST STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056963",
            "telephone_number": "336-895-1598",
            "fax_number": "336-390-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "CARLA",
        "middle_name": "RAINA",
        "name_prefix": "Mrs.",
        "credential": "RPA,RT(R)(M)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "NC",
            "license": "04NC1094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.