Tahari Sephora Delvecchio, MRT

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

License

1758 Issued in TX

Practice address

11400 State Highway 30 Ste 1102
College Station, TX 77845-7948

Phone

(512) 293-2000

Fax

(949) 695-3411

NPI assigned

Sep 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BV Open MRI LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • College Station, TX
  • NPI 1346025988

  Magnetic Resonance Imaging (MRI)

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1124805098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 STATE HIGHWAY 30 STE 1102",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457948",
            "telephone_number": "979-485-5435",
            "fax_number": "949-695-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 STATE HIGHWAY 30 STE 1102",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457948",
            "telephone_number": "512-293-2000",
            "fax_number": "949-695-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVECCHIO",
        "first_name": "TAHARI",
        "middle_name": "SEPHORA",
        "name_prefix": "Ms.",
        "credential": "MRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "TX",
            "license": "1758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Grace Dekeratry, RBT
• Daniella Del Rio
• April Joy Deleon, LCSW
• Camille Ashley Deleonardis, PSYD
• Elizabeth Diane Delgado, P.A.
• Wendi L Denk, PHARMD
• Nicholas Tyler Dennie
• Dept of Assistive & Rehab Serv - Bryan Field Office
• Angela Ellis Derbes, O.D.
• Averi Derrick

• All providers in College Station, TX
• Magnetic Resonance Imaging Radiologic Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.