Active NPI
Ashley Beverly, RT
- Radiologic Technologist
- Phoenix, AZ
National Provider Identifier
1780031583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 17860
- Practice address
- 650 E Indian School Rd
Phoenix, AZ 85012-1839 - Phone
- (602) 277-5551
- NPI assigned
- May 21, 2016
- Last updated
- May 21, 2016
- 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 |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 17860 | AZ | Primary |
Addresses
Primary practice location
650 E Indian School Rd
Phoenix, AZ 85012-1839
Mailing address
3099 E Patrick St
Gilbert, AZ 85295-0400
Phone (480) 286-4383
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 |
|---|---|---|---|
| 17860 | AZ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463788800000",
"number": "1780031583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3099 E PATRICK ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852950400",
"telephone_number": "480-286-4383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 E INDIAN SCHOOL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121839",
"telephone_number": "602-277-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVERLY",
"first_name": "ASHLEY",
"credential": "RT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-21",
"last_updated": "2016-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "AZ",
"license": "17860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.