Individual provider Active NPI

De Ann L Ferrell, LMT.

  • Reflexologist
  • Chandler, AZ
National Provider Identifier
1619274115
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
MT-14733 Issued in AZ
Practice address
1175 W Pecos Rd
#2134
Chandler, AZ 85224-5212
Phone
(480) 374-0888
NPI assigned
Feb 17, 2011
Last updated
Feb 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X MT-14733 AZ Primary

Addresses

Primary practice location

1175 W Pecos Rd
#2134
Chandler, AZ 85224-5212

Mailing address

1175 W Pecos Rd
#2134
Chandler, AZ 85224-5212
Phone (480) 374-0888

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
MT-14733AZMDReflexologist

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1619274115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 W PECOS RD",
            "address_2": "#2134",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245212",
            "telephone_number": "480-374-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 W PECOS RD",
            "address_2": "#2134",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245212",
            "telephone_number": "480-374-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "DE ANN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMT.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "AZ",
            "license": "MT-14733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.