Individual provider Active NPI

Audri McBay Ragasa, CRNP

  • Pediatric Nurse Practitioner
  • Athens, AL
National Provider Identifier
1760760235
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-116040 Issued in AL
Practice address
707 US Highway 31 S
Ste D
Athens, AL 35611-3619
Phone
(256) 233-0712
Fax
(256) 233-3535
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1-116040 AL Primary

Addresses

Primary practice location

707 US Highway 31 S
Ste D
Athens, AL 35611-3619

Mailing address

15635 Lappington Rd
Athens, AL 35614-5158
Phone (256) 233-0712

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
1-116040ALMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Pediatrics Inc. Past Accepting new patients
Merri Beth Gilliam CRNP, PC Past Accepting new patients
Central Pediatrics of Somerville LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1760760235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15635 LAPPINGTON RD",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356145158",
            "telephone_number": "256-233-0712",
            "fax_number": "256-233-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 US HIGHWAY 31 S",
            "address_2": "STE D",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356113619",
            "telephone_number": "256-233-0712",
            "fax_number": "256-233-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGASA",
        "first_name": "AUDRI",
        "middle_name": "MCBAY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-116040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.