Christen Marie Verre, BMO 79048

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

79048 Issued in FL

Practice address

640 Tyrone Blvd N
St Petersburg, FL 33710-7126

Phone

(727) 528-7827

Fax

(727) 235-0063

NPI assigned

Sep 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1599868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599868800000",
    "number": "1003421447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 TYRONE BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337107126",
            "telephone_number": "727-510-3120",
            "fax_number": "727-528-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 TYRONE BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337107126",
            "telephone_number": "727-528-7827",
            "fax_number": "727-235-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERRE",
        "first_name": "CHRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "BMO 79048",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-12",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "FL",
            "license": "79048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.professionalurgentcare.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "St. Petersburg",
            "address_1": "640 Tyrone Blvd N",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337107126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Radiologic Technologist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Radiologic Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; 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.