Active NPI
Kelly Jo Garrett, RPA,RA,RT(R)
- Radiology Practitioner Assistant
- Webster, TX
National Provider Identifier
1366760613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Practitioner Assistant
- License
- 1672
- Practice address
- 500 Medical Center Blvd
Radiology
Webster, TX 77598-4220 - Phone
- (281) 338-3831
- Fax
- (281) 338-3824
- NPI assigned
- May 11, 2010
- 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 |
|---|---|---|---|---|
| Radiology Practitioner Assistant | 243U00000X | 1672 | TX | Primary |
Addresses
Primary practice location
500 Medical Center Blvd
Radiology
Webster, TX 77598-4220
Mailing address
7026 Old Katy Rd
#276
Houston, TX 77024-2133
Phone (713) 621-7436
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273536000000",
"number": "1366760613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7026 OLD KATY RD",
"address_2": "#276",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242133",
"telephone_number": "713-621-7436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MEDICAL CENTER BLVD",
"address_2": "RADIOLOGY",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984220",
"telephone_number": "281-338-3831",
"fax_number": "281-338-3824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "KELLY",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "RPA,RA,RT(R)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-11",
"last_updated": "2010-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": "TX",
"license": "1672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.