Active NPI
Si Roaten, R.T. (R)(CT)
- Computed Tomography Radiologic Technologist
- Ball, LA
National Provider Identifier
1003312877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Computed Tomography Radiologic Technologist
- License
- 12633
- Practice address
- 115 Gayven Dr
Ball, LA 71405-4901 - Phone
- (731) 267-6911
- NPI assigned
- Apr 2, 2018
- Last updated
- Apr 2, 2018
- 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 |
|---|---|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | 12633 | LA | Primary |
Addresses
Primary practice location
115 Gayven Dr
Ball, LA 71405-4901
Mailing address
97 Sherwood Dr
Dry Prong, LA 71423-8755
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 |
|---|---|---|---|
| 12633 | LA | MD | Computed Tomography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522627200000",
"number": "1003312877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 SHERWOOD DR",
"city": "DRY PRONG",
"state": "LA",
"postal_code": "714238755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 GAYVEN DR",
"city": "BALL",
"state": "LA",
"postal_code": "714054901",
"telephone_number": "731-267-6911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROATEN",
"first_name": "SI",
"credential": "R.T. (R)(CT)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-02",
"last_updated": "2018-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3401X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Computed Tomography",
"state": "LA",
"license": "12633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ball, LA
- Liza Phillips
- Pinecrest Supports and Services Center (Oak Run Community Home)
- Private Healthcare Facilities
- Robert Allen Ray, RPH
- Rays Investments Inc (Ray's Pharmacy)
- Mackenzie L Scallan
- Kimberly Danielle Sillavan, APRN
- Sharlea Smoot Smith, LCSW
- Angela Nickole Solomito Pugh, CPM, LM
- Thompson Bros Investments LLC (Alternative Concept Care Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.