Active NPI
Geri Vialpando
- Radiologic Technologist
- Chubbuck, ID
National Provider Identifier
1659772143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 343062
- Practice address
- 4923 Sheppard St
Chubbuck, ID 83202-2540 - Phone
- (208) 589-5788
- NPI assigned
- Sep 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 343062 | ID | Primary |
Addresses
Primary practice location
4923 Sheppard St
Chubbuck, ID 83202-2540
Mailing address
4923 Sheppard St
Chubbuck, ID 83202-2540
Phone (208) 589-5788
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 |
|---|---|---|---|
| 343062 | ID | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1659772143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4923 SHEPPARD ST",
"city": "CHUBBUCK",
"state": "ID",
"postal_code": "832022540",
"telephone_number": "208-589-5788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4923 SHEPPARD ST",
"city": "CHUBBUCK",
"state": "ID",
"postal_code": "832022540",
"telephone_number": "208-589-5788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIALPANDO",
"first_name": "GERI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "ID",
"license": "343062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chubbuck, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.