Individual provider Active NPI

Judy Lynn Roberts, CRT

  • SNF/Subacute Care Certified Respiratory Therapist
  • Salt Lake City, UT
National Provider Identifier
1912101858
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SNF/Subacute Care Certified Respiratory TherapistTaxonomy code 2278S1500X
License
4988384-5701 Issued in UT
Practice address
4885 S 900 E
Suite 107
Salt Lake City, UT 84117-5746
Phone
(801) 266-0399
Fax
(801) 266-0421
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SNF/Subacute Care Certified Respiratory Therapist 2278S1500X 4988384-5701 UT Primary

Addresses

Primary practice location

4885 S 900 E
Suite 107
Salt Lake City, UT 84117-5746

Mailing address

1079 E 6165 S
Salt Lake City, UT 84121-1747
Phone (801) 261-2390

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

LicenseStateTypeSpecialty
4988384-5701UTMDSNF/Subacute Care Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912101858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 E 6165 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211747",
            "telephone_number": "801-261-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 S 900 E",
            "address_2": "SUITE 107",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175746",
            "telephone_number": "801-266-0399",
            "fax_number": "801-266-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JUDY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278S1500X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, SNF/Subacute Care",
            "state": "UT",
            "license": "4988384-5701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.