Individual provider Active NPI

Myrlene Adonis

  • Home Health Certified Respiratory Therapist
  • Clermont, FL
National Provider Identifier
1033723143
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Certified Respiratory TherapistTaxonomy code 2278H0200X
License
TT15210 Issued in FL
Practice address
15540 Kensington TRL
Clermont, FL 34711-8138
Phone
(407) 427-4977
NPI assigned
Sep 4, 2020
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Certified Respiratory Therapist 2278G1100X TT15210 FL
Home Health Certified Respiratory Therapist 2278H0200X TT15210 FL Primary

Addresses

Primary practice location

15540 Kensington TRL
Clermont, FL 34711-8138

Mailing address

15540 Kensington TRL
Clermont, FL 34711-8138
Phone (407) 427-4977

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
TT15210FLMDHome Health Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1033723143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15540 KENSINGTON TRL",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118138",
            "telephone_number": "407-427-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15540 KENSINGTON TRL",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118138",
            "telephone_number": "407-427-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADONIS",
        "first_name": "MYRLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": "FL",
            "license": "TT15210",
            "primary": false
        },
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": "FL",
            "license": "TT15210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.