Active NPI
Kathleen Anne Mlekush, RDMS, RVT
- Vascular Sonography Radiologic Technologist
- Bullhead City, AZ
National Provider Identifier
1316568488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Sonography Radiologic Technologist
- License
- 158287
- Practice address
- 2500 Canyon Rd
Bullhead City, AZ 86442-8624 - Phone
- (928) 716-5452
- NPI assigned
- Apr 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Sonography Radiologic Technologist | 2471V0105X | 158287 | AZ | Primary |
Addresses
Primary practice location
2500 Canyon Rd
Bullhead City, AZ 86442-8624
Mailing address
1805 Stovall St
Bullhead City, AZ 86442-8781
Phone (928) 716-5452
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ediultrasound@gmail.com | Direct | |
| Other URL | https://app.ultralinq.net/ | Direct |
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 |
|---|---|---|---|
| 158287 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1316568488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 STOVALL ST",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864428781",
"telephone_number": "928-716-5452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 CANYON RD",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864428624",
"telephone_number": "928-716-5452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MLEKUSH",
"first_name": "KATHLEEN",
"middle_name": "ANNE",
"credential": "RDMS, RVT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-30",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2471V0105X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": "AZ",
"license": "158287",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ediultrasound@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "none",
"address_1": "2500 Canyon Rd",
"city": "Bullhead City",
"state": "AZ",
"country_code": "US",
"postal_code": "864428624",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://app.ultralinq.net/",
"affiliation": "N",
"endpointDescription": "UltraLinq",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PACS",
"address_1": "2500 Canyon Rd",
"city": "Bullhead City",
"state": "AZ",
"country_code": "US",
"postal_code": "864428624",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.