Active NPI
Deborah Andrews, RTT
- Radiation Therapy Radiologic Technologist
- Modesto, CA
National Provider Identifier
1649632381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Therapy Radiologic Technologist
- License
- RHT00082211
- Practice address
- 3521 Jarena Dr
Modesto, CA 95357-1319 - Phone
- (209) 622-0218
- NPI assigned
- Mar 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Therapy Radiologic Technologist | 2471R0002X | RHT00082211 | CA | Primary |
| Radiation Therapy Radiologic Technologist | 2471R0002X | 679805 | NY |
Addresses
Primary practice location
3521 Jarena Dr
Modesto, CA 95357-1319
Mailing address
3521 Jarena Dr
Modesto, CA 95357-1319
Phone (209) 622-0218
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
| License | State | Type | Specialty |
|---|---|---|---|
| RHT00082211 | CA | MD | Radiation Therapy Radiologic Technologist |
| 679805 | NY | MD | Radiation Therapy Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1649632381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3521 JARENA DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953571319",
"telephone_number": "209-622-0218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 JARENA DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953571319",
"telephone_number": "209-622-0218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "DEBORAH",
"credential": "RTT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "2471R0002X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiation Therapy",
"state": "CA",
"license": "RHT00082211",
"primary": true
},
{
"code": "2471R0002X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiation Therapy",
"state": "NY",
"license": "679805",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.