Active NPI
Roberta Louise Cole, CRT
- General Care Certified Respiratory Therapist
- Pocatello, ID
National Provider Identifier
1164692190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Care Certified Respiratory Therapist
- License
- LRT-1077
- Practice address
- 651 Memorial Dr
Pocatello, ID 83201-4071 - Phone
- (208) 239-1372
- NPI assigned
- Mar 5, 2008
- Last updated
- Mar 5, 2008
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Care Certified Respiratory Therapist | 2278G1100X | LRT-1077 | ID | Primary |
| Critical Care Certified Respiratory Therapist | 2278C0205X | LRT-1077 | ID | |
| Emergency Care Certified Respiratory Therapist | 2278E0002X | LRT-1077 | ID | |
| Geriatric Care Certified Respiratory Therapist | 2278G0305X | LRT-1077 | ID | |
| Home Health Certified Respiratory Therapist | 2278H0200X | LRT-1077 | ID | |
| Palliative/Hospice Certified Respiratory Therapist | 2278P3800X | LRT-1077 | ID | |
| SNF/Subacute Care Certified Respiratory Therapist | 2278S1500X | LRT-1077 | ID |
Addresses
Primary practice location
651 Memorial Dr
Pocatello, ID 83201-4071
Mailing address
1100 W Quinn Rd Apt 23
Chubbuck, ID 83202-2451
Phone (208) 241-1982
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 |
|---|---|---|---|
| LRT-1077 | ID | MD | Emergency Care Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1164692190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W QUINN RD APT 23",
"city": "CHUBBUCK",
"state": "ID",
"postal_code": "832022451",
"telephone_number": "208-241-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 MEMORIAL DR",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014071",
"telephone_number": "208-239-1372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "ROBERTA",
"middle_name": "LOUISE",
"credential": "CRT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-05",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2278G1100X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, General Care",
"state": "ID",
"license": "LRT-1077",
"primary": true
},
{
"code": "2278C0205X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Critical Care",
"state": "ID",
"license": "LRT-1077",
"primary": false
},
{
"code": "2278E0002X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Emergency Care",
"state": "ID",
"license": "LRT-1077",
"primary": false
},
{
"code": "2278G0305X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Geriatric Care",
"state": "ID",
"license": "LRT-1077",
"primary": false
},
{
"code": "2278H0200X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Home Health",
"state": "ID",
"license": "LRT-1077",
"primary": false
},
{
"code": "2278P3800X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Palliative/Hospice",
"state": "ID",
"license": "LRT-1077",
"primary": false
},
{
"code": "2278S1500X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, SNF/Subacute Care",
"state": "ID",
"license": "LRT-1077",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.