Individual provider Active NPI

Roberta Louise Cole, CRT

  • General Care Certified Respiratory Therapist
  • Pocatello, ID
National Provider Identifier
1164692190
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Care Certified Respiratory TherapistTaxonomy code 2278G1100X
License
LRT-1077 Issued in ID
Practice address
651 Memorial Dr
Pocatello, ID 83201-4071
Phone
(208) 239-1372
NPI assigned
Mar 5, 2008
Last updated
Mar 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LRT-1077IDMDEmergency 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.

Verify at the official NPI Registry.