Individual provider Active NPI

Michele Knox Fletcher, RT(R)(CT)

  • Computed Tomography Radiologic Technologist
  • Henderson, NV
National Provider Identifier
1285870683
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X
License
10148 Issued in AZ
Practice address
80 S Gibson Rd
#923
Henderson, NV 89012-2432
Phone
(602) 373-1066
NPI assigned
Jan 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Computed Tomography Radiologic Technologist 2471C3401X 10148 AZ Primary

Addresses

Primary practice location

80 S Gibson Rd
#923
Henderson, NV 89012-2432

Mailing address

80 S Gibson Rd
#923
Henderson, NV 89012-2432
Phone (602) 373-1066

Other names 1

  • Miss Michele Lynn Knox Former name

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

LicenseStateTypeSpecialty
10148AZMDComputed Tomography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1285870683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 S GIBSON RD",
            "address_2": "#923",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890122432",
            "telephone_number": "602-373-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S GIBSON RD",
            "address_2": "#923",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890122432",
            "telephone_number": "602-373-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "MICHELE",
        "middle_name": "KNOX",
        "name_prefix": "Mrs.",
        "credential": "RT(R)(CT)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "AZ",
            "license": "10148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "KNOX",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "RT(R)(CT)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.