Individual provider Active NPI

Marta Lucia Marie Hale, RT

  • Pulmonary Function Technologist Certified Respiratory Therapist
  • Idaho Falls, ID
National Provider Identifier
1891209854
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Function Technologist Certified Respiratory TherapistTaxonomy code 2278P1006X
Practice address
2001 S Woodruff Ave Ste B
Idaho Falls, ID 83404-6374
Phone
(208) 529-2498
Fax
(208) 528-7971
NPI assigned
Nov 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Function Technologist Certified Respiratory Therapist 2278P1006X Primary

Addresses

Primary practice location

2001 S Woodruff Ave Ste B
Idaho Falls, ID 83404-6374

Mailing address

93 N 285 E
Blackfoot, ID 83221-5987
Phone (208) 705-5497

Other names 1

  • Marta Lucia Marie Hale Former name

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": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1891209854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 N 285 E",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832215987",
            "telephone_number": "208-705-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S WOODRUFF AVE STE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046374",
            "telephone_number": "208-529-2498",
            "fax_number": "208-528-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "MARTA",
        "middle_name": "LUCIA MARIE",
        "credential": "RT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278P1006X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Function Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTA",
            "last_name": "HALE",
            "middle_name": "LUCIA MARIE",
            "credential": "RT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.