Active NPI
Ranae Davison, RDMS
- Sonography Radiologic Technologist
- Boise, ID
National Provider Identifier
1780968313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 92611
- Practice address
- 1515 Newport St
Boise, ID 83709-3008 - Phone
- (208) 539-9924
- NPI assigned
- Sep 30, 2011
- 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 |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 92611 | ID | Primary |
Addresses
Primary practice location
1515 Newport St
Boise, ID 83709-3008
Mailing address
1515 Newport St
Boise, ID 83709-3008
Phone (208) 539-9924
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 |
|---|---|---|---|
| 92611 | ID | MD | Sonography Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Imaging Inc | Current | Accepting new patients | |
| Allied Imaging Inc | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Radiology Clinic/Center
- Pocatello, ID
- NPI 1699175158
-
- Diagnostic Ultrasound Physician
- Pocatello, ID
- NPI 1841653367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1780968313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 NEWPORT ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837093008",
"telephone_number": "208-539-9924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 NEWPORT ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837093008",
"telephone_number": "208-539-9924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVISON",
"first_name": "RANAE",
"credential": "RDMS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-30",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "ID",
"license": "92611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.