KUTISTIA DIANE RAGLAND (NPI# 1326471731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326471731 |
Entity Type | Individual |
Full Name | KUTISTIA DIANE RAGLAND |
Credential | ARRT (R) (M) |
Practice Address |
Psc 490 Bx 7716 Fpo AP 96538 |
Mailing Address |
Po Box 20863 Barrigada GU 96921-0863 |
Practice Telephone | 6713449658 |
Mailing Telephone | 6716882540 |
Enumeration Date | 2013-08-21 |
Last Update Date | 2013-08-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2471M2300X |
Radiologic Technologist Specialization: Mammography |
141913 | FL | Technologists, Technicians & Other Technical Service Providers |
Y | 2471M2300X |
Radiologic Technologist Specialization: Mammography |
316179 | MN | Technologists, Technicians & Other Technical Service Providers |
Street Address |
PSC 490 BX 7716 |
City | FPO |
State | AP |
Zip Code | 96538 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437593209 | Blaed Jacob Gerhart | Physician Assistant | 1 Farenholt St, Bldg K-1, Fpo, AP 96538 | 2013-04-24 |
1568658482 | Dexter Dancel Cabral | Military Health Care Provider | Psc 490 Box 7607, Fpo, AP 96538 | 2007-09-25 |
1770789331 | Branch Medical Clinic Guam | Clinic/Center | Building 6 Chapel Road, Santa Rita, GU 96538 | 2007-06-21 |
1023084738 | Leslie A Boone | Occupational Therapist | Box 9095, Fpo, AP 96538 | 2006-02-23 |
1093786048 | Jason Matthew Jones | Audiologist | Psc 490 Box 7732, Fpo, AP 96538 | 2006-01-29 |
1215917893 | Ik Jo Ahn | Anesthesiology | Psc 490, Box 9095, Fpo, AP 96538 | 2006-01-19 |
1841270881 | Jamie Metcalf Daut | Audiologist | Pcs 490 Box 7723, Fpo, AP 96538 | 2006-01-17 |
1992784052 | Donna Marie Hunter | Dietitian, Registered | Psc 490 Box 9095, Fpo, AP 96538 | 2006-01-17 |
1548249600 | Ethel Doreen Tomasi | Social Worker | Psc 490 Box 7704, Fpo, AP 96538 | 2006-01-16 |
1689653735 | Elizabeth M. Adriano | Obstetrics & Gynecology | Usnh Guam--obgyn Dept, Psc 490 Box 9025, Fpo, AP 96538 | 2006-01-16 |
Find all providers in zip 96538 |
Taxonomy Code | 2471M2300X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Mammography |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.