Active NPI
Norman Lee Theaker, TH.D, RRT
- Registered Respiratory Therapist
- Vanderbilt, MI
National Provider Identifier
1003165424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 4401004366
- Practice address
- 7949 Cedar St
Vanderbilt, MI 49795-5107 - Phone
- (989) 350-8234
- NPI assigned
- Aug 30, 2012
- Last updated
- Aug 30, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 4401004366 | MI | Primary |
Addresses
Primary practice location
7949 Cedar St
Vanderbilt, MI 49795-5107
Mailing address
7949 Cedar St
PO Box 142
Vanderbilt, MI 49795-5107
Phone (989) 350-8234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4401004366 | Other | MI | RESPIRATORY CARE |
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 |
|---|---|---|---|
| 4401004366 | MI | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1003165424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7949 CEDAR ST",
"address_2": "PO BOX 142",
"city": "VANDERBILT",
"state": "MI",
"postal_code": "497955107",
"telephone_number": "989-350-8234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7949 CEDAR ST",
"city": "VANDERBILT",
"state": "MI",
"postal_code": "497955107",
"telephone_number": "989-350-8234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEAKER",
"first_name": "NORMAN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "TH.D, RRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "MI",
"license": "4401004366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESPIRATORY CARE",
"identifier": "4401004366",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vanderbilt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.