Active NPI
Rachel Prigge, CSA
- Orthopaedic Surgery Physician
- Goodyear, AZ
National Provider Identifier
1578221503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5205
- Practice address
- 13677 W McDowell Rd
Goodyear, AZ 85395-2635 - Phone
- (623) 882-1500
- NPI assigned
- Dec 7, 2021
- Last updated
- Dec 7, 2021
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5205 | MN | Primary |
Addresses
Primary practice location
13677 W McDowell Rd
Goodyear, AZ 85395-2635
Mailing address
11903 W Happy Valley Rd Unit 84
Peoria, AZ 85383-1541
Phone (507) 421-3143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001349215 | Other | AZ | ALLUMA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1578221503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11903 W HAPPY VALLEY RD UNIT 84",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853831541",
"telephone_number": "507-421-3143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13677 W MCDOWELL RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952635",
"telephone_number": "623-882-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIGGE",
"first_name": "RACHEL",
"credential": "CSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "5205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLUMA",
"identifier": "1001349215",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.