MR. JOHNNY RAY CRAIN JR. (NPI# 1871996595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871996595 |
Entity Type | Individual |
Full Name | MR. JOHNNY RAY CRAIN JR. |
Credential | RT (R) (ARRT) |
Practice Address |
311 Los Lentes Rd Se Los Lunas NM 87031-9224 |
Mailing Address |
16 Sheba Pl Los Lunas NM 87031-7021 |
Practice Telephone | 9168217919 |
Practice Fax Number | 5055652272 |
Mailing Telephone | 9168217919 |
Mailing Fax Number | 5055652272 |
Enumeration Date | 2014-10-08 |
Last Update Date | 2014-10-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
325224 | NM | Technologists, Technicians & Other Technical Service Providers |
Street Address |
311 LOS LENTES RD SE |
City | LOS LUNAS |
State | NM |
Zip Code | 87031-9224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518302793 | Valencia Family Health Care Inc | Nurse Practitioner | 311 Los Lentes Rd Se, Los Lunas, NM 87031-9224 | 2013-05-01 |
1023411741 | Anita Torrez | Radiologic Technologist | 311 Los Lentes Rd Se, Los Lunas, NM 87031-9224 | 2014-10-08 |
1023439650 | Jcat Imaging Services | Radiology | 311 Los Lentes Rd Se, Los Lunas, NM 87031-9224 | 2013-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
1407415235 | Brittany Leigh Dow | Family Medicine | 328 Main St Sw, Los Lunas, NM 87031 | 2019-06-05 |
1942764162 | Christine Beevers | Occupational Therapy Assistant | 310 Bonita Vista Blvd, Los Lunas, NM 87031 | 2019-01-23 |
1669953105 | Patricia A Ziehl | Occupational Therapy Assistant | 119 Luna Ave., Los Lunas, NM 87031 | 2018-08-23 |
1922500776 | Mellisa Marie Everett | Massage Therapist | 3414 Nm- 47, Los Lunas, NM 87031 | 2018-03-07 |
1831699917 | Nachelle Lynn Pell | Registered Nurse | 310 Bonita Vista, Los Lunas, NM 87031 | 2018-02-15 |
1053829135 | Valencia Denise Jackson | Registered Nurse | 46 Chacon Rd., Los Lunas, NM 87031 | 2018-01-11 |
1548777972 | Aja Santana Armijo | Speech-Language Pathologist | 46 Chacon Blvd., Los Lunas, NM 87031 | 2018-01-08 |
Find all providers in zip 87031 |
Taxonomy Code | 2471C3402X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Radiography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023411741 | Anita Torrez | Radiologic Technologist | 311 Los Lentes Rd Se, Los Lunas, NM 87031-9224 | 2014-10-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730259805 | New Mexico Sonographics Inc | Radiologic Technologist | 4600 A Montgomery Ne, Ste 105, Albuquerque, NM 87109-1292 | 2006-11-08 |
1629152764 | Allen Michael Frey | Radiologic Technologist | Jicarilla Apache Health Care Center, 12000 Stone Lake Road, Dulce, NM 87528 | 2006-10-25 |
1861052177 | April Montano | Radiologic Technologist | 1804 June St Ne, Albuquerque, NM 87112-3146 | 2019-06-18 |
1912257643 | Nicole G. Sers | Radiologic Technologist | 1515 Eubank Se, Albuquerque, NM 87123 | 2012-09-10 |
1871842955 | Toni Faye Kirby | Radiologic Technologist | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87123 | 2012-09-05 |
1225386287 | Robert P Delao | Radiologic Technologist | 1515 Eubank Blvd Se, Bld. 831/832, Albuquerque, NM 87123-3453 | 2012-08-24 |
1255317111 | Melanie Faye Cruise | Radiologic Technologist | Us Hwy 491 North, Shiprock, NM 87420 | 2005-12-21 |
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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.