Active NPI
Kathleen Kerrigan, RDMS
- Sonography Radiologic Technologist
- Ambler, PA
National Provider Identifier
1659709285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 16862
- Practice address
- 31 E Butler Ave
Ambler, PA 19002-4510 - Phone
- (215) 646-8607
- Fax
- (866) 308-0330
- NPI assigned
- Oct 16, 2013
- 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 |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 16862 | NV | Primary |
Addresses
Primary practice location
31 E Butler Ave
Ambler, PA 19002-4510
Mailing address
6161 Wycliffe Cir
Reno, NV 89519-7347
Phone (775) 750-4004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16862 | Other | CA | RDMS LICENSE |
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 |
|---|---|---|---|
| 16862 | NV | MD | Sonography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381881600000",
"number": "1659709285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6161 WYCLIFFE CIR",
"city": "RENO",
"state": "NV",
"postal_code": "895197347",
"telephone_number": "775-750-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 E BUTLER AVE",
"city": "AMBLER",
"state": "PA",
"postal_code": "190024510",
"telephone_number": "215-646-8607",
"fax_number": "866-308-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERRIGAN",
"first_name": "KATHLEEN",
"credential": "RDMS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-16",
"last_updated": "2013-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "NV",
"license": "16862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RDMS LICENSE",
"identifier": "16862",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ambler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.