Johanna P Vanrijsewijk, RDMS

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

9481 Issued in FL

Practice address

70 W Gore St Ste 202
Orlando, FL 32806-1124

Phone

(407) 880-9179

Fax

(407) 814-2459

NPI assigned

Feb 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568501476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W GORE ST STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061124",
            "telephone_number": "407-880-9179",
            "fax_number": "407-814-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W GORE ST STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061124",
            "telephone_number": "407-880-9179",
            "fax_number": "407-814-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANRIJSEWIJK",
        "first_name": "JOHANNA",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "RDMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "FL",
            "license": "9481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sonography Radiologic Technologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Sonography Radiologic Technologist in Florida

• 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.