Active NPI
Theresa Starks Rogers, PBT(ASCP)
- Phlebotomy Technician
- Great Falls, MT
National Provider Identifier
1083912349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 1201 Central Ave
Great Falls, MT 59401-3775 - Phone
- (406) 454-3247
- Fax
- (406) 454-0718
- NPI assigned
- Mar 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 457 | MT | |
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
1201 Central Ave
Great Falls, MT 59401-3775
Mailing address
1201 Central Ave
Great Falls, MT 59401-3775
Phone (406) 454-3247
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 |
|---|---|---|---|
| 457 | MT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1083912349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 CENTRAL AVE",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594013775",
"telephone_number": "406-454-3247",
"fax_number": "406-454-0718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 CENTRAL AVE",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594013775",
"telephone_number": "406-454-3247",
"fax_number": "406-454-0718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "THERESA",
"middle_name": "STARKS",
"name_prefix": "Ms.",
"credential": "PBT(ASCP)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-09",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MT",
"license": "457",
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
- Rocky Mountain Sleep Disorders Center Inc
- Rocky Mountain Sleep Disorders Center Inc
- Rocky Mountain Sleep Disorders Center, Inc.
- Rocky Mountain Treatment Center
- Rocky Mountain Vein Clinic Great Falls Inc
- Mitchell Rohrback, MD
- Tirso J. Rojas, M.D.
- Rebecca Romero, LMT
- Judy L Rosales, APRN
- Rose Mountain Midwifery
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.