Active NPI
Roger Patterson, LMT
- Specialist
- Kanab, UT
National Provider Identifier
1306266325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6421080-4701
- Practice address
- 67W 200S
Kanab, UT 84741 - Phone
- (435) 899-9436
- NPI assigned
- Apr 17, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 6421080-4701 | UT | MD | Specialist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 6421080-4701 | UT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
67W 200S
Kanab, UT 84741
Mailing address
67W 200S
Kanab, UT 84741
Phone (435) 899-9436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2014.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1306266325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67W 200S",
"city": "KANAB",
"state": "UT",
"postal_code": "84741",
"telephone_number": "435-899-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67W 200S",
"city": "KANAB",
"state": "UT",
"postal_code": "84741",
"telephone_number": "435-899-9436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "ROGER",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-17",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "UT",
"license": "6421080-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kanab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.