Professional Respiratory Services

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

812 Issued in TN

Legal business name

PROFESSIONAL RESPIRATORY SERVICES

Doing business as

Professional Respiratory and Medical

Practice address

98 N Star Dr Ste B
Jackson, TN 38305-5684

Phone

(731) 300-4784

Fax

(731) 300-4783

NPI assigned

Mar 11, 2014

Organization subpart

No

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

Authorized official

Name

Theresa L. Crump, RRT

Title

President

Phone

(423) 954-8901

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Professional Respiratory and Medical Doing business as

Tax ID family

Professional Respiratory Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Professional Respiratory Services

  • Durable Medical Equipment & Medical Supplies
  • Chattanooga, TN
  • NPI 1710164041
  NPD tax ID
• Professional Respiratory Services, LLC

  dba Professional Resiratory and Rehab

  • Oxygen Equipment & Supplies (DME)
  • Johnson City, TN
  • NPI 1447636055
  NPD tax ID

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1033535323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 STEIN DR",
            "address_2": "SUITE 106",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217247",
            "telephone_number": "423-284-6142",
            "fax_number": "423-954-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 N STAR DR STE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055684",
            "telephone_number": "731-300-4784",
            "fax_number": "731-300-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RESPIRATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-954-8901",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454665",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Respiratory and Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandria Hearn Prince, FNP-C
• Emily Privitt
• Evanna Proctor, MD
• Professional Anesthesia Associates
• Professional Health Services of Jackson
• Brittany Ann Proudfit, FNP-C
• Psychological Services
• Kelly D Pucek, MD
• Sarah Y Pucek, CRNA
• Delaney Puckett, DO

• Oxygen Equipment & Supplies (DME) in Jackson, TN
• Providers in Jackson, TN by specialty
• Oxygen Equipment & Supplies (DME) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.