Active NPI
Ashley Mazzuca, SONOGRAPHER
- Diagnostic Ultrasound Physician
- Grand Junction, CO
National Provider Identifier
1659844694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 240488
- Practice address
- 2703 Cancun CT
Grand Junction, CO 81506-8606 - Phone
- (970) 361-4106
- NPI assigned
- Jan 2, 2019
- 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 |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | 240488 | CO | Primary |
Addresses
Primary practice location
2703 Cancun CT
Grand Junction, CO 81506-8606
Mailing address
2703 Cancun CT
Grand Junction, CO 81506-8606
Phone (970) 361-4106
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 |
|---|---|---|---|
| 240488 | CO | MD | Diagnostic Ultrasound Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1659844694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 CANCUN CT",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068606",
"telephone_number": "970-361-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 CANCUN CT",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068606",
"telephone_number": "970-361-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZUCA",
"first_name": "ASHLEY",
"credential": "SONOGRAPHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-02",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CO",
"license": "240488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.