Sarah Nichole Northcutt

Individual provider Active NPI Radiologic Technologist · Rhome, TX

NPI 1578041828 · NPPES record last updated Jul 30, 2018

Key facts

NPI
1578041828
Entity type
Individual (NPI type 1)
Primary specialty
Radiologic Technologist 247100000X
License
376962 (ID)
Practice address
12517 Nicholas PL
Rhome, TX 76078-6064
Phone
(817) 602-8918
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
376962IDMDRadiologic Technologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 172339 TX
Radiologic Technologist 247100000X 376962 ID Yes

Addresses

Primary practice location

12517 Nicholas PL
Rhome, TX 76078-6064

Mailing address

12517 Nicholas PL
Rhome, TX 76078-6064
Phone (817) 602-8918

Other identifiers

IdentifierTypeStateIssuer
172339OtherTXNBSTSA
376962OtherIDARRT

Other providers in Rhome, TX

All providers in Rhome, TX · Radiologic Technologist in Texas

Sources for this page

Verify at the official NPI Registry.