Misty M Roberts, ARDMS,RVT

Primary specialty

Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X

License

56133 Issued in NU

Practice address

230 Morris Ave
Saint Louis, MO 63125-2733

Phone

(314) 631-0387

NPI assigned

Sep 10, 2007

Last updated

Sep 10, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Misty M Butts Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1760677132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MORRIS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631252733",
            "telephone_number": "314-631-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MORRIS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631252733",
            "telephone_number": "314-631-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MISTY",
        "middle_name": "M",
        "credential": "ARDMS,RVT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NU",
            "license": "56133",
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "NU",
            "license": "56133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "BUTTS",
            "middle_name": "M",
            "credential": "ARDMS,RVT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Jane Marie Lukies Roberts, LMSW
• Matthew C Roberts, NP-C
• Maxine Roberts
• Meredith D. Roberts, M.S.
• Michelle Dawn Roberts, LPC, NCC
• Patricia Roberts, LPN
• Ricky A Roberts Jr., D.C.
• Samantha K Roberts, PHARM.D., BCPS
• Sandra Ann Roberts
• Sean Anthony Roberts, MSN, APRN, FNP-BC

• Radiologic Technologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Radiologic Technologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.