Sheila Diane Andrea, RT(R)(M)

Primary specialty

Mammography Radiologic TechnologistTaxonomy code 2471M2300X

License

CMT-2739 Issued in AZ

Practice address

11405 N Crestview St.
Flagstaff, AZ 86004-5215

Phone

(928) 637-8724

NPI assigned

Aug 31, 2010

Last updated

Aug 31, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1851607675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11405 N CRESTVIEW ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860045215",
            "telephone_number": "928-637-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11405 N CRESTVIEW ST.",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860045215",
            "telephone_number": "928-637-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREA",
        "first_name": "SHEILA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "RT(R)(M)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "AZ",
            "license": "CRT-13822",
            "primary": false
        },
        {
            "code": "2471M2300X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Mammography",
            "state": "AZ",
            "license": "CMT-2739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Anderson
• McKenzye Jane Anderson, MS, CCC-SLP
• Nikkol Kramer Anderson, O.T.
• Nina Jean Anderson, MSN, RNP, APRN-BC
• Spencer Reid Anderson, M.D.
• Kristi Andreassen Guy
• Natalie M. Andress, CNM
• Kelsey Yvonne Andrist
• Angela Wyatt Dermatology, P.C.
• Angelique F. Varela,M.D.

• Radiologic Technologist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Radiologic Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.