Active NPI
Garrett Steven Fenley, RRT-NPS
- Neonatal/Pediatric Registered Respiratory Therapist
- Kansas City, MO
National Provider Identifier
1043849649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal/Pediatric Registered Respiratory Therapist
- License
- 2015020335
- Practice address
- 2401 Gillham Road
Respiratory Care Dept
Kansas City, MO 64108 - Phone
- (816) 234-3000
- NPI assigned
- Apr 6, 2020
- Last updated
- Apr 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal/Pediatric Registered Respiratory Therapist | 2279P3900X | 2015020335 | MO | Primary |
Addresses
Primary practice location
2401 Gillham Road
Respiratory Care Dept
Kansas City, MO 64108
Mailing address
2401 Gillham Road
Respiratory Care Dept
Kansas City, MO 64108
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2015020335 | MO | MD | Neonatal/Pediatric Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1043849649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 GILLHAM ROAD",
"address_2": "RESPIRATORY CARE DEPT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 GILLHAM ROAD",
"address_2": "RESPIRATORY CARE DEPT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64108",
"telephone_number": "816-234-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENLEY",
"first_name": "GARRETT",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "RRT-NPS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-06",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2279P3900X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
"state": "MO",
"license": "2015020335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.