Individual provider Active NPI

Natalie Brooke Wier, RDMS, RVT

  • Sonography Radiologic Technologist
  • Columbia, MO
National Provider Identifier
1790342459
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
Practice address
5704 Shackelford CT
Columbia, MO 65203-4521
Phone
(573) 882-6016
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X
Sonography Radiologic Technologist 2471S1302X Primary
Vascular Sonography Radiologic Technologist 2471V0105X MO

Addresses

Primary practice location

5704 Shackelford CT
Columbia, MO 65203-4521

Mailing address

5704 Shackelford CT
Columbia, MO 65203-4521
Phone (573) 882-6016

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

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1790342459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 SHACKELFORD CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034521",
            "telephone_number": "573-882-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5704 SHACKELFORD CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034521",
            "telephone_number": "573-882-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIER",
        "first_name": "NATALIE",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "RDMS, RVT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.