Individual provider Active NPI

Anne Katherine Radnothy, PA-C

  • Physician Assistant
  • Yuma, AZ
National Provider Identifier
1508941915
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103501 Issued in NC
Practice address
Yrmc
2400 S. Ave
Yuma, AZ 85364
Phone
(928) 336-7020
Fax
(928) 336-7520
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103501 NC Primary

Addresses

Primary practice location

Yrmc
2400 S. Ave
Yuma, AZ 85364

Mailing address

PO Box 3147
Ypg
Yuma, AZ 85365
Phone (928) 920-1322

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3501NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Weirsdale Family Health Center Inc PastSince May 1, 2013 Accepting new patients
Louis J Radnothy DO PA Past Accepting new patients
Southwest Emergency Physicians, PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECJJAD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508941915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3147",
            "address_2": "YPG",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85365",
            "telephone_number": "928-920-1322",
            "fax_number": "928-336-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "YRMC",
            "address_2": "2400 S. AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-336-7020",
            "fax_number": "928-336-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADNOTHY",
        "first_name": "ANNE",
        "middle_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.