Justin Tate, RRT

Primary specialty

General Care Registered Respiratory TherapistTaxonomy code 2279G1100X

License

2003017948 Issued in MO

Practice address

11701 Borman Dr
Suite 280
Saint Louis, MO 63146-4100

Phone

(314) 983-9555

Fax

(314) 983-9444

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063635647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 S 9TH ST",
            "address_2": "APT A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631044710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 BORMAN DR",
            "address_2": "SUITE 280",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464100",
            "telephone_number": "314-983-9555",
            "fax_number": "314-983-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "MO",
            "license": "2003017948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore A Tash, DPT
• Taste of Success Coaching
• Heidi Hope Tastet, MD
• Elvira Tatar, RPH
• Angela Tate, MED, LPC
• Pearl Tate, LMSW
• Sandra L Tate, MD
• Sharon Ann Tate, LPN
• Kanayo Tatsumi, M.D
• Harold Anthony Tatum Jr., ACNP

• General Care Registered Respiratory Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Care Registered Respiratory Therapist in Missouri

• 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.