Individual provider Active NPI

Amy McClernan, RT, MR

  • Magnetic Resonance Imaging Radiologic Technologist
  • Foxboro, MA
National Provider Identifier
1518328269
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
License
289516 Issued in NJ
Practice address
19 Carter Rd
Foxboro, MA 02035-1531
Phone
(508) 543-5658
NPI assigned
Mar 9, 2016
Last updated
Mar 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic Technologist 2471M1202X 289516 NJ Primary

Addresses

Primary practice location

19 Carter Rd
Foxboro, MA 02035-1531

Mailing address

19 Carter Rd
Foxboro, MA 02035-1531

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
289516NJMDMagnetic Resonance Imaging Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1518328269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CARTER RD",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CARTER RD",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351531",
            "telephone_number": "508-543-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLERNAN",
        "first_name": "AMY",
        "credential": "RT, MR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "NJ",
            "license": "289516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.