Active NPI
Micky D Herron, CRT
- Certified Respiratory Therapist
- Fort Riley, KS
National Provider Identifier
1083059356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 16-03957
- Practice address
- 600 Caisson Hill Rd
Fort Riley, KS 66442-7037 - Phone
- (785) 239-7371
- NPI assigned
- May 1, 2013
- 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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 16-03957 | KS | Primary |
Addresses
Primary practice location
600 Caisson Hill Rd
Fort Riley, KS 66442-7037
Mailing address
600 Caisson Hill Rd
Fort Riley, KS 66442-7037
Phone (785) 239-7371
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 |
|---|---|---|---|
| 16-03957 | KS | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1083059356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CAISSON HILL RD",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664427037",
"telephone_number": "785-239-7371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CAISSON HILL RD",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664427037",
"telephone_number": "785-239-7371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRON",
"first_name": "MICKY",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "CRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-01",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "KS",
"license": "16-03957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Riley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.