Active NPI
Jessie Raylene Pruitt, CRT RCP
- Home Health Certified Respiratory Therapist
- Amarillo, TX
National Provider Identifier
1144515123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Certified Respiratory Therapist
- License
- 59508
- Practice address
- 6652 Canyon Dr
#3
Amarillo, TX 79109-7011 - Phone
- (806) 322-0941
- Fax
- (806) 322-0942
- NPI assigned
- Jun 17, 2011
- Last updated
- Jun 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Certified Respiratory Therapist | 2278H0200X | 59508 | TX | Primary |
Addresses
Primary practice location
6652 Canyon Dr
#3
Amarillo, TX 79109-7011
Mailing address
6652 Canyon Dr
#3
Amarillo, TX 79109-7011
Phone (806) 322-0941
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 |
|---|---|---|---|
| 59508 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessie R. Pruitt Dba Sleep 2 Go | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Amarillo, TX
- NPI 1447536057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1144515123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6652 CANYON DR",
"address_2": "#3",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791097011",
"telephone_number": "806-322-0941",
"fax_number": "806-322-0942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6652 CANYON DR",
"address_2": "#3",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791097011",
"telephone_number": "806-322-0941",
"fax_number": "806-322-0942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "JESSIE",
"middle_name": "RAYLENE",
"credential": "CRT RCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-17",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "2278H0200X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Home Health",
"state": "TX",
"license": "59508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.