Individual provider Active NPI

Kristie Kelley, R.T.

  • Magnetic Resonance Imaging Radiologic Technologist
  • Beaumont, TX
National Provider Identifier
1326315359
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
License
225579 Issued in TX
Practice address
3820 Pointe Pkwy
3820 Pointe Parkway at Folsom Drive, One Folsom
Beaumont, TX 77706-2000
Phone
(409) 767-8221
NPI assigned
Nov 18, 2011
Last updated
Nov 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X 15935 TX
Magnetic Resonance Imaging Radiologic Technologist 2471M1202X 225579 TX Primary

Addresses

Primary practice location

3820 Pointe Pkwy
3820 Pointe Parkway at Folsom Drive, One Folsom
Beaumont, TX 77706-2000

Mailing address

3820 Pointe Pkwy
3820 Pointe Parkway at Folsom Drive, One Folsom
Beaumont, TX 77706-2000
Phone (409) 767-8221

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
15935TXMDRadiologic Technologist
225579TXMDMagnetic Resonance Imaging Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1326315359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 POINTE PKWY",
            "address_2": "3820 POINTE PARKWAY AT FOLSOM DRIVE, ONE FOLSOM",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062000",
            "telephone_number": "409-767-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 POINTE PKWY",
            "address_2": "3820 POINTE PARKWAY AT FOLSOM DRIVE, ONE FOLSOM",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062000",
            "telephone_number": "409-767-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KRISTIE",
        "credential": "R.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "TX",
            "license": "15935",
            "primary": false
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "TX",
            "license": "225579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.