Michelle Dawn Roberge, CPHT

Primary specialty

Clinical Pharmacology PhysicianTaxonomy code 208U00000X

License

CT17612 Issued in ID

Practice address

706 E Seltice Way
Post Falls, ID 83854-8674

Phone

(208) 777-4071

Fax

(208) 773-0913

NPI assigned

Aug 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Post Falls, ID
  • NPI 1598770612
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1891276804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 E SELTICE WAY",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838548674",
            "telephone_number": "208-777-4071",
            "fax_number": "208-773-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 E SELTICE WAY",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838548674",
            "telephone_number": "208-777-4071",
            "fax_number": "208-773-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERGE",
        "first_name": "MICHELLE",
        "middle_name": "DAWN",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "ID",
            "license": "CT17612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River City Anesthesia Associates, PLLC
• River City Chiropractic, Inc.
• River City Counseling, LLC
• River City Hospice, LLC
• River City Physical Therapy
• Samantha Nichole Roberts
• Omega Robertson, LMT
• Julie Robinson, FNP-C
• Randy Robinson, L.M.T.
• Ronald H Rock, CRNA

• Clinical Pharmacology Physician in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Clinical Pharmacology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.