Marcella Speranza Consiglio, RTR, VI

Primary specialty

Vascular-Interventional Technology Radiologic TechnologistTaxonomy code 2471V0106X

License

536554 Issued in MA

Practice address

1 Boston Medical Ctr PL Ste 1
Boston, MA 02118-2999

Phone

(617) 638-8000

NPI assigned

Apr 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1417539339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 WAUMBECK ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021211011",
            "telephone_number": "802-734-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOSTON MEDICAL CTR PL STE 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182999",
            "telephone_number": "617-638-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSIGLIO",
        "first_name": "MARCELLA",
        "middle_name": "SPERANZA",
        "credential": "RTR, VI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0106X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular-Interventional Technology",
            "state": "MA",
            "license": "536554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Conroy
• Madison Ann Conroy
• Michael Francis Conroy, LADCI
• Stacey Cori Conroy, LCSW
• Sarah Marie Consbruck
• Jordan Constance, MA
• Katherine Putnam Constantin, PMHNP-BC
• Elizabeth Margaret Constantine
• Maria I. Constantine, PA-C
• Steven Kyriakos Constantino Jr., MD

• Radiologic Technologist in Boston, MA
• Providers in Boston, MA by specialty
• Radiologic Technologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.