Active NPI
June Robin Kelly
- Computed Tomography Radiologic Technologist
- Largo, FL
National Provider Identifier
1174859482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Computed Tomography Radiologic Technologist
- License
- CRT 40827
- Practice address
- 1509 Adams Cir E
Largo, FL 33771-6420 - Phone
- (727) 587-0090
- NPI assigned
- Oct 20, 2009
- 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 |
|---|---|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | CRT 40827 | FL | Primary |
| Computed Tomography Radiologic Technologist | 2471C3401X | ARRT I.D. 290226 | FL |
Addresses
Primary practice location
1509 Adams Cir E
Largo, FL 33771-6420
Mailing address
1509 Adams Cir E
Largo, FL 33771-6420
Phone (727) 587-0090
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 |
|---|---|---|---|
| ARRT I.D. 290226 | FL | MD | Computed Tomography Radiologic Technologist |
| CRT 40827 | FL | MD | Computed Tomography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255996800000",
"number": "1174859482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 ADAMS CIR E",
"city": "LARGO",
"state": "FL",
"postal_code": "337716420",
"telephone_number": "727-587-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 ADAMS CIR E",
"city": "LARGO",
"state": "FL",
"postal_code": "337716420",
"telephone_number": "727-587-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "JUNE",
"middle_name": "ROBIN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-20",
"last_updated": "2009-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3401X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Computed Tomography",
"state": "FL",
"license": "CRT 40827",
"primary": true
},
{
"code": "2471C3401X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Computed Tomography",
"state": "FL",
"license": "ARRT I.D. 290226",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.