Active NPI
Kimberly Sue Essex, RRT
- Registered Respiratory Therapist
- Camp Pendleton, CA
National Provider Identifier
1154637858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 30005346A
- Practice address
- BLDG H100
Camp Pendleton, CA 92055 - Phone
- (760) 725-1288
- NPI assigned
- Aug 19, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 00029977 | CA | |
| Registered Respiratory Therapist | 227900000X | RCP.11081 | OH | |
| Registered Respiratory Therapist | 227900000X | 30005346A | IN | Primary |
Addresses
Primary practice location
BLDG H100
Camp Pendleton, CA 92055
Mailing address
7525 Ensign CT
Fort Wayne, IN 46816-2751
Phone (260) 444-4501
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 |
|---|---|---|---|
| 00029977 | CA | MD | Registered Respiratory Therapist |
| 30005346A | IN | MD | Registered Respiratory Therapist |
| RCP.11081 | OH | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282176000000",
"number": "1154637858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 ENSIGN CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468162751",
"telephone_number": "260-444-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG H100",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-725-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSEX",
"first_name": "KIMBERLY",
"middle_name": "SUE",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-19",
"last_updated": "2010-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "CA",
"license": "00029977",
"primary": false
},
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "OH",
"license": "RCP.11081",
"primary": false
},
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "IN",
"license": "30005346A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Pendleton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.