Active NPI
Sharlene Marie Clary, RT(R)(M)(CT)(MR)
- Body Imaging Physician
- Overland Park, KS
National Provider Identifier
1871009068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- 277867
- Practice address
- 12300 Metcalf Ave
Overland Park, KS 66213-1324 - Phone
- (913) 317-7000
- NPI assigned
- Dec 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 277867 | KS | Primary |
| Body Imaging Physician | 2085B0100X | 22-04992 | KS |
Addresses
Primary practice location
12300 Metcalf Ave
Overland Park, KS 66213-1324
Mailing address
25112 W 83Rd Ter
Lenexa, KS 66227-3101
Phone (913) 240-6127
Other practice location 1
2650 Shawnee Mission Pkwy
Westwood, KS 66205-2003
Phone (913) 240-6127
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-04992 | Other | KS | KANSAS STATE BOARD OF HEALING ARTS |
| 277867 | Other | ARRT |
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 |
|---|---|---|---|
| 22-04992 | KS | MD | Body Imaging Physician |
| 277867 | KS | MD | Body Imaging Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1871009068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25112 W 83RD TER",
"city": "LENEXA",
"state": "KS",
"postal_code": "662273101",
"telephone_number": "913-240-6127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 METCALF AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662131324",
"telephone_number": "913-317-7000"
}
],
"practiceLocations": [
{
"address_1": "2650 Shawnee Mission Pkwy",
"address_purpose": "LOCATION",
"city": "Westwood",
"state": "KS",
"postal_code": "662052003",
"country_code": "US",
"telephone_number": "913-240-6127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARY",
"first_name": "SHARLENE",
"middle_name": "MARIE",
"credential": "RT(R)(M)(CT)(MR)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "KS",
"license": "277867",
"primary": true
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "KS",
"license": "22-04992",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS STATE BOARD OF HEALING ARTS",
"identifier": "22-04992",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARRT",
"identifier": "277867",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.