Shane Radcliff

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

158 S Park SQ
Fruita, CO 81521-2531

Phone

(970) 260-3228

Fax

(970) 858-8510

NPI assigned

May 29, 2008

Last updated

May 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1841458577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 NARROW LEAF DR",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212580",
            "telephone_number": "970-260-3228",
            "fax_number": "970-858-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 S PARK SQ",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212531",
            "telephone_number": "970-260-3228",
            "fax_number": "970-858-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADCLIFF",
        "first_name": "SHANE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Partners, Inc.
• Psych on Heels
• Kristina Marie Puls, MD
• Gary Neil Quarnberg, OD
• Julie A Query, M.D.
• Alyson Rajnowski, OTR, CHT
• Redrock Physical Medicine & Rehabiliation PC (Ellen Price DO PC)
• Michael T Reeder Jr., O.D.
• Rachael Richards
• Kimberly Inez Rieniets, D.O.

• Specialist in Fruita, CO
• Providers in Fruita, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.