KELLIE D. TATRO (NPI# 1366905705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366905705 |
| Entity Type | Individual |
| Full Name | KELLIE D. TATRO |
| Credential | RRA, RT(R) |
| Practice Address |
5803 White Line Rd Ayden NC 28513-8471 |
| Practice Telephone | 5204004318 |
| Mailing Telephone | 5204004318 |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 243U00000X | Radiology Practitioner Assistant | 349813 | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5803 WHITE LINE RD |
| City | AYDEN |
| State | NC |
| Zip Code | 28513-8471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871075424 | Mariah Vanstaalduinen | Occupational Therapist | 128 Snowhill Rd, Ayden, NC 28513 | 2018-08-30 |
| 1043682735 | Michael Micelli | Pharmacist | 182 Nc 102 East, Ayden, NC 28513 | 2015-10-21 |
| 1356679302 | Leigh Ann Teal | Pharmacist | 140 Nc Hwy 102 East, Ayden, NC 28513 | 2009-12-03 |
| 1932370699 | Richard Frazier | Family Medicine | 182 Gumberry Rd, Ayden, NC 28513 | 2008-03-20 |
| 1376712836 | Ronald D Bancroft | Counselor | 417 A First Street, Ayden, NC 28513 | 2008-02-28 |
| 1104040815 | Edith L Smith | Occupational Therapist | 642 E 2nd Street, Ayden, NC 28513 | 2007-04-12 |
| 1376653071 | Kerr Drug Inc | Pharmacy | 140 Nc Hwy 102 West, Ayden, NC 28513 | 2006-08-30 |
| 1548221039 | Tracey Walston Bowen | Internal Medicine | 137 Third Street, Ayden, NC 28513 | 2006-04-01 |
| 1760703631 | Richard Garrett Roach | Pharmacist | 140 Nc Hwy 102 West, Kerr Drug #500, Ayden, NC 28513 | 2010-06-15 |
| 1346458916 | Stephen Chambers | Social Worker | 175 Philpot Lane, Beaver, WV 28513 | 2007-05-18 |
| Find all providers in zip 28513 | ||||
| Taxonomy Code | 243U00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiology Practitioner Assistant |
| A Radiology Practitioner Assistant (RPA) is a health professional certified as a registered radiographer with the American Registry of Radiologic Technologists (ARRT) and, in addition, is credentialed to provide primary radiology health care with radiologist supervision. Radiology Practitioner Assistants are qualified by graduation from an educational program recognized by the Board of Directors of athe Certification Board for Radiology Practitioner Assistants (CBRPA) and certified by the CBRPA. Within the Radiologist/RPA relationship, Radiology Practitioner Assistants exercise autonomy in decision making in the role of a primary caregiver with regard to patient assessment, patient management and in providing a broad range of radiology diagnostic and interventional services. The clinical role of the Radiology Practitioner Assistant includes primary and specialty care in radiology practice settings in rural and urban areas. |
| Notes: Source: Certification Board of Radiology Practitioner Assistants [7/1/2008: new] Additional Resources: www.cbrpa.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184168429 | Lucas Araujo | Radiology Practitioner Assistant | 400 Ashville Ave Ste 330, Cary, NC 27518-6134 | 2016-12-06 |
| 1528206125 | Laurie Sheppard | Radiology Practitioner Assistant | 262 Leroy George Dr Ste X, Clyde, NC 28721-7430 | 2009-02-04 |
| 1699219568 | Jason Leymeister | Radiology Practitioner Assistant | 400 Ashville Ave Ste 330, Cary, NC 27518-6134 | 2016-12-13 |
| 1073057188 | Kristin Pahl | Radiology Practitioner Assistant | 6836 Morrison Blvd Ste 101, Charlotte, NC 28211-2612 | 2016-12-08 |
| 1952845067 | Amanda Hinderman | Radiology Practitioner Assistant | 400 Ashville Ave Ste 330, Cary, NC 27518-6134 | 2016-12-08 |
| 1053855296 | Derek Medeiros | Radiology Practitioner Assistant | 6836 Morrison Blvd Ste 101, Charlotte, NC 28211-2612 | 2016-12-07 |
| 1881138170 | Kristi Ann Kerrigan | Radiology Practitioner Assistant | 6836 Morrison Blvd Ste 101, Suite 101, Charlotte, NC 28211-2612 | 2016-12-06 |
| 1972046589 | Marissa Vaughn | Radiology Practitioner Assistant | 400 Ashville Ave, Ste 330, Cary, NC 27518-6134 | 2016-11-30 |
| 1629489539 | Cliffton Breiler | Radiology Practitioner Assistant | 930 Se Cary Pkwy, Cary, NC 27518-7419 | 2014-05-13 |
| 1578995049 | Tyler Evan Anderson | Radiology Practitioner Assistant | 400 Ashville Ave, Cary, NC 27518-6134 | 2013-08-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.