Individual provider Active NPI

Carla Jo Hale, BS, CRT

  • Certified Respiratory Therapist
  • Adolphus, KY
National Provider Identifier
1174120679
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
License
5138 Issued in KY
Practice address
2993 New Roe Rd
Adolphus, KY 42120-6204
Phone
(270) 850-5359
NPI assigned
Oct 7, 2020
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X 5138 KY Primary

Addresses

Primary practice location

2993 New Roe Rd
Adolphus, KY 42120-6204

Mailing address

2993 New Roe Rd
Adolphus, KY 42120-6204
Phone (270) 850-5359

Other names 1

  • Carla Jo Christopherson Former name

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
5138KYMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1174120679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2993 NEW ROE RD",
            "city": "ADOLPHUS",
            "state": "KY",
            "postal_code": "421206204",
            "telephone_number": "270-850-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2993 NEW ROE RD",
            "city": "ADOLPHUS",
            "state": "KY",
            "postal_code": "421206204",
            "telephone_number": "270-850-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "CARLA",
        "middle_name": "JO",
        "credential": "BS, CRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "KY",
            "license": "5138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "CHRISTOPHERSON",
            "middle_name": "JO",
            "credential": "CRT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Adolphus, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.