Individual provider Active NPI

Nachelle Work, RT(R)(T)(CT)

  • Computed Tomography Radiologic Technologist
  • Collinsville, IL
National Provider Identifier
1811649775
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X
License
451414 Issued in IL
Practice address
11 Davis Woods
Collinsville, IL 62234-7114
Phone
(618) 604-7453
NPI assigned
Jan 21, 2022
Last updated
Jan 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Computed Tomography Radiologic Technologist 2471C3401X 451414 IL Primary

Addresses

Primary practice location

11 Davis Woods
Collinsville, IL 62234-7114

Mailing address

11 Davis Woods
Collinsville, IL 62234-7114
Phone (618) 604-7453

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL shelly.j.work@outlook.com Direct

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
451414ILMDComputed Tomography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1811649775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DAVIS WOODS",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622347114",
            "telephone_number": "618-604-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DAVIS WOODS",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622347114",
            "telephone_number": "618-604-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORK",
        "first_name": "NACHELLE",
        "credential": "RT(R)(T)(CT)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "IL",
            "license": "451414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shelly.j.work@outlook.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11 Davis Woods",
            "city": "Collinsville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622347114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.