Active NPI
Kevin Nugent Nugent
- Vascular Sonography Radiologic Technologist
- Tampa, FL
National Provider Identifier
1447559265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Sonography Radiologic Technologist
- License
- 109892
- Practice address
- 12922 N Albany Ave
Tampa, FL 33612-3908 - Phone
- (813) 294-0169
- NPI assigned
- Mar 18, 2011
- Sex
- Male
- 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 | 109892 | FL | Primary |
Addresses
Primary practice location
12922 N Albany Ave
Tampa, FL 33612-3908
Mailing address
PO Box 271131
Tampa, FL 33688-1131
Phone (813) 294-0169
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 |
|---|---|---|---|
| 109892 | FL | MD | Vascular Sonography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1447559265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 271131",
"city": "TAMPA",
"state": "FL",
"postal_code": "336881131",
"telephone_number": "813-294-0169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12922 N ALBANY AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336123908",
"telephone_number": "813-294-0169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUGENT",
"first_name": "KEVIN",
"middle_name": "NUGENT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-18",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2471V0105X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": "FL",
"license": "109892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.