Individual provider Active NPI

Jose O Nieves, RRT

  • Pulmonary Diagnostics Registered Respiratory Therapist
  • Holiday, FL
National Provider Identifier
1124556048
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Diagnostics Registered Respiratory TherapistTaxonomy code 2279P1004X
License
RT8214 Issued in FL
Practice address
2435 US Highway 19 Ste 300
300
Holiday, FL 34891-3904
Phone
(877) 202-1191
NPI assigned
May 24, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Diagnostics Registered Respiratory Therapist 2279P1004X RT8214 FL Primary

Addresses

Primary practice location

2435 US Highway 19 Ste 300
300
Holiday, FL 34891-3904

Mailing address

1405 SW 1St Ave
Cape Coral, FL 33991-8043
Phone (516) 297-9793

Other practice location 1

1405 SW 1st Ave
Cape Coral, FL 33991-8043
Phone (516) 297-9793

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
RT8214FLMDPulmonary Diagnostics Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124556048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SW 1ST AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339918043",
            "telephone_number": "516-297-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 US HIGHWAY 19 STE 300",
            "address_2": "300",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "348913904",
            "telephone_number": "877-202-1191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 SW 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339918043",
            "country_code": "US",
            "telephone_number": "516-297-9793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "JOSE",
        "middle_name": "O",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": "FL",
            "license": "RT8214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.