Organization Active NPI

U.S. Respiratory, LLC

  • Durable Medical Equipment & Medical Supplies
  • Johnson City, TN
National Provider Identifier
1144651175
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1184 Issued in TN
Legal business name
U.S. RESPIRATORY, LLC
Practice address
144 Old Gray Station Rd Ste 100
Johnson City, TN 37615-3592
Phone
(423) 979-8473
Fax
(888) 611-4310
NPI assigned
Dec 2, 2013
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Mrs. Deborah A Smith
Title
Owner
Phone
(423) 943-4771

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1184 TN Primary
Durable Medical Equipment & Medical Supplies 332B00000X 0206009842 VA

Addresses

Primary practice location

144 Old Gray Station Rd Ste 100
Johnson City, TN 37615-3592

Mailing address

144 Old Gray Station Rd Ste 100
Johnson City, TN 37615-3592
Phone (423) 979-8473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140320000605 TN DME Supplier - Medical Supply Company With Respiratory Therapist 8628209442 Practice locations: Johnson City, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
U.S. Respiratory, LLC144 Old Gray Station Rd, Johnson City, TN 37615-3592(423) 979-8473 Tracheotomy Supplies|Continuous Positive Airway Pressure (CPAP) Devices|High Freq Chest Wall Oscillation Devices/Supplies|Intermittent Positive Pressure Breathing IPPB DEV|Intrapulmonary Percussive Ventilation Devices|Mechanical In-Exsufflation Devices|Nebulizer Equipment and/or Supplies|Oxygen Equ… Accepts assignmentParticipating since Mar 14, 2014

National Provider Directory

National Provider Directory

Locations

144 Old Gray Station Rd
Ste 100
Johnson City, TN 37615
Phone (423) 282-0114

2109 W Market St
Ste 167
Johnson City, TN 37604

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1144651175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 OLD GRAY STATION RD STE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376153592",
            "telephone_number": "423-979-8473",
            "fax_number": "888-611-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 OLD GRAY STATION RD STE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376153592",
            "telephone_number": "423-979-8473",
            "fax_number": "888-611-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. RESPIRATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-943-4771",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "1184",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0206009842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.