Active NPI
Mary Elizabeth Phillips
- Radiologic Technologist
- North Las Vegas, NV
National Provider Identifier
1003089244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 283037
- Practice address
- 5319 Eel River CT
North Las Vegas, NV 89031-3504 - Phone
- (702) 994-1459
- NPI assigned
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 283037 | NV | Primary |
| Mammography Radiologic Technologist | 2471M2300X | 283037 | NV | |
| Sonography Radiologic Technologist | 2471S1302X |
Addresses
Primary practice location
5319 Eel River CT
North Las Vegas, NV 89031-3504
Mailing address
5319 Eel River CT
North Las Vegas, NV 89031-3504
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283037 | NV | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1003089244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5319 EEL RIVER CT",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890313504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5319 EEL RIVER CT",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890313504",
"telephone_number": "702-994-1459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "NV",
"license": "283037",
"primary": true
},
{
"code": "2471M2300X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Mammography",
"state": "NV",
"license": "283037",
"primary": false
},
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.