Individual provider Active NPI

Derek Ashlin Ramp, RN

  • Registered Nurse
  • San Tan Valley, AZ
National Provider Identifier
1851149751
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN208386 Issued in AZ
Practice address
2474 E Hunt Hwy Ste A100
San Tan Valley, AZ 85143-5210
Phone
(480) 317-2213
Fax
(480) 783-3408
NPI assigned
May 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN208386 AZ Primary

Addresses

Primary practice location

2474 E Hunt Hwy Ste A100
San Tan Valley, AZ 85143-5210

Mailing address

5048 E Black Opal LN
San Tan Valley, AZ 85143-6290
Phone (607) 437-1952

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN208386AZMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1851149751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5048 E BLACK OPAL LN",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851436290",
            "telephone_number": "607-437-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 E HUNT HWY STE A100",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435210",
            "telephone_number": "480-317-2213",
            "fax_number": "480-783-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMP",
        "first_name": "DEREK",
        "middle_name": "ASHLIN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN208386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.