Individual provider Active NPI

Sharlene Marie Clary, RT(R)(M)(CT)(MR)

  • Body Imaging Physician
  • Overland Park, KS
National Provider Identifier
1871009068
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
277867 Issued in KS
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
22-04992OtherKSKANSAS STATE BOARD OF HEALING ARTS
277867OtherARRT

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
22-04992KSMDBody Imaging Physician
277867KSMDBody 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.

Verify at the official NPI Registry.