Active NPI
David James Roukie, LPT
- Licensed Psychiatric Technician
- Reno, NV
National Provider Identifier
1043875933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 36345
- Practice address
- 315 Record St Ste 102
Reno, NV 89512-3327 - Phone
- (775) 571-0282
- NPI assigned
- May 6, 2019
- 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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 36345 | CA | Primary |
Addresses
Primary practice location
315 Record St Ste 102
Reno, NV 89512-3327
Mailing address
1677 Noreen Dr
Sparks, NV 89434-2593
Phone (775) 842-0762
Other practice location 1
1677 Noreen Dr
Sparks, NV 89434-2593
Phone (775) 842-3104
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 |
|---|---|---|---|
| 36345 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1043875933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1677 NOREEN DR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894342593",
"telephone_number": "775-842-0762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 RECORD ST STE 102",
"city": "RENO",
"state": "NV",
"postal_code": "895123327",
"telephone_number": "775-571-0282"
}
],
"practiceLocations": [
{
"address_1": "1677 Noreen Dr",
"address_purpose": "LOCATION",
"city": "Sparks",
"state": "NV",
"postal_code": "894342593",
"country_code": "US",
"telephone_number": "775-842-3104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROUKIE",
"first_name": "DAVID",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-06",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "36345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.