Individual provider Active NPI

Vanessa Kay Magness, R.T.(R)

  • Radiography Radiologic Technologist
  • Tyler, TX
National Provider Identifier
1942460985
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
19735 Issued in TX
Practice address
774 Airway Ave
Tyler, TX 75704-7806
Phone
(903) 363-9583
Fax
(903) 363-9583
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic Technologist 2471C3402X 19735 TX Primary

Addresses

Primary practice location

774 Airway Ave
Tyler, TX 75704-7806

Mailing address

3872 State Highway 64 W # 243
Tyler, TX 75704-6924
Phone (903) 363-9583

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
19735TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Speed of Light Ultrasound, LLC Current Accepting new patients
Speed of Light Xray, LLC Current Accepting new patients
Excel X-Ray LLC Current Accepting new patients

Locations

3872 State Highway 64 W
#243
Tyler, TX 75704

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1942460985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3872 STATE HIGHWAY 64 W # 243",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757046924",
            "telephone_number": "903-363-9583",
            "fax_number": "903-363-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 AIRWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757047806",
            "telephone_number": "903-363-9583",
            "fax_number": "903-363-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNESS",
        "first_name": "VANESSA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "R.T.(R)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "TX",
            "license": "19735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.