Individual provider Active NPI

Rodney James Wallette, M.S., C.R.C.

  • Rehabilitation Counselor
  • Kalispell, MT
National Provider Identifier
1386760486
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
License
31731 CRCC
Practice address
205 Sunnyview LN
Kalispell, MT 59901-3120
Phone
(406) 751-4189
Fax
(406) 751-4527
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 31731 CRCC Primary

Addresses

Primary practice location

205 Sunnyview LN
Kalispell, MT 59901-3120

Mailing address

595 Patrick Creek Rd
Kalispell, MT 59901-7526
Phone (406) 755-4883

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
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386760486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 PATRICK CREEK RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599017526",
            "telephone_number": "406-755-4883",
            "fax_number": "406-751-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SUNNYVIEW LN",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013120",
            "telephone_number": "406-751-4189",
            "fax_number": "406-751-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLETTE",
        "first_name": "RODNEY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "M.S., C.R.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": "31731  CRCC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.