Yolanda Petty, RDMS, RVT, RDCS

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

22847 Issued in KY

Practice address

1926 Meadowcreek Dr
Louisville, KY 40218-2451

Phone

(502) 314-1050

Fax

(502) 459-3234

NPI assigned

Dec 14, 2016

Last updated

Dec 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Perception Plus Imaging Services LLC

  • Cardiovascular Disease Physician
  • Louisville, KY
  • NPI 1255854493

  Sonography

  NPD Authorized official

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1205370061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 MEADOWCREEK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182451",
            "telephone_number": "502-314-1050",
            "fax_number": "502-459-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 MEADOWCREEK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182451",
            "telephone_number": "502-314-1050",
            "fax_number": "502-459-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "YOLANDA",
        "name_prefix": "Ms.",
        "credential": "RDMS, RVT, RDCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "KY",
            "license": "22847",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "KY",
            "license": "22847",
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "KY",
            "license": "22847",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Petty, LMT
• Lauryn Petty, RBT
• Liberty Petty
• Megan Petty
• Travis Petty
• Andrew Maxwell Pettyjohn, LCSW
• Seth Petway, RBT
• Michael L Peveler, MD
• Paula Peyrani, MD
• Deborah A Peyton, LPCC-S

• Sonography Radiologic Technologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Sonography Radiologic Technologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.