Individual provider Active NPI

Adriane Michele Malone, ARRT (M), CRT (M)

  • Mammography Radiologic Technologist
  • Garden Ridge, TX
National Provider Identifier
1487945614
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Radiologic TechnologistTaxonomy code 2471M2300X
License
148207/40743 Issued in CA
Practice address
18945 FM 2252
Suite 115
Garden Ridge, TX 78266-2562
Phone
(866) 595-6379
NPI assigned
Apr 21, 2011
Last updated
Apr 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Radiologic Technologist 2471M2300X 148207/40743 CA Primary

Addresses

Primary practice location

18945 FM 2252
Suite 115
Garden Ridge, TX 78266-2562

Mailing address

3240 Tongass Blvd
Apt. 1-a
Juneau, AK 99801-9022
Phone (907) 500-8191

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
148207/40743CAMDMammography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1487945614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 TONGASS BLVD",
            "address_2": "APT. 1-A",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019022",
            "telephone_number": "907-500-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18945 FM 2252",
            "address_2": "SUITE 115",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "782662562",
            "telephone_number": "866-595-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "ADRIANE",
        "middle_name": "MICHELE",
        "credential": "ARRT (M), CRT (M)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471M2300X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Mammography",
            "state": "CA",
            "license": "148207/40743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Ridge, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.