Active NPI
Schaley Kathleen Allen, RT(R)(CT)
- Radiologic Technologist
- Las Vegas, NV
National Provider Identifier
1023393055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 95857
- Practice address
- 901 Rancho LN
Las Vegas, NV 89106-3836 - Phone
- (702) 636-3000
- NPI assigned
- Oct 21, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 95857 | TX | Primary |
| Computed Tomography Radiologic Technologist | 2471C3401X | 95857 | TX |
Addresses
Primary practice location
901 Rancho LN
Las Vegas, NV 89106-3836
Mailing address
31A McCarran Blvd
Las Vegas, NV 89115-2678
Phone (903) 293-0840
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 |
|---|---|---|---|
| 95857 | TX | MD | Computed Tomography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1023393055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31A MCCARRAN BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891152678",
"telephone_number": "903-293-0840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 RANCHO LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063836",
"telephone_number": "702-636-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "SCHALEY",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "RT(R)(CT)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-21",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "TX",
"license": "95857",
"primary": true
},
{
"code": "2471C3401X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Computed Tomography",
"state": "TX",
"license": "95857",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.