Individual provider Active NPI

Shelby Austin Ragghanti

  • Health Information Technician
  • Flagstaff, AZ
National Provider Identifier
1700370566
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Information TechnicianTaxonomy code 247000000X
Practice address
3150 N Winding Brook Rd
Flagstaff, AZ 86001-0972
Phone
(928) 774-7106
NPI assigned
Jun 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Information Technician 247000000X Primary

Addresses

Primary practice location

3150 N Winding Brook Rd
Flagstaff, AZ 86001-0972

Mailing address

2465 W Cripple Creek Dr
Flagstaff, AZ 86001-2670

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1700370566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 W CRIPPLE CREEK DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N WINDING BROOK RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860010972",
            "telephone_number": "928-774-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGGHANTI",
        "first_name": "SHELBY",
        "middle_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.