Jason Kelly, RT. RVS

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

License

00096509 Issued in AZ

Practice address

7012 E Nelson Dr
Tucson, AZ 85730-1718

Phone

(520) 309-8312

NPI assigned

Aug 16, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunsono

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Tucson, AZ
  • NPI 1942755012
  NPD (past) Authorized official

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1831644251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 E NELSON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301718",
            "telephone_number": "520-309-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7012 E NELSON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301718",
            "telephone_number": "520-309-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JASON",
        "credential": "RT. RVS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "AZ",
            "license": "00096509",
            "primary": true
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "AZ",
            "license": "CRT-11630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Mary Kelly, RN
• Diane Kelly, MD
• Erin Michelle Kelly, M.S.
• George Washington Kelly, MA, LPC
• Jade Marie Kelly
• Karlyn Kelly
• Kevin J Kelly, MD
• Marin Sarah Kelly
• Rhodric Kelly, MD
• Shawn Robert Kelly, APRN-CRNA

• Sonography Specialist/Technologist Cardiovascular in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Sonography Specialist/Technologist Cardiovascular in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.