Individual provider Active NPI

Joseph Edmund Whetsell, RESPIRATORY THERAPIS

  • Certified Respiratory Therapist
  • Kingstree, SC
National Provider Identifier
1194442079
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
License
RCP943 Issued in SC
Practice address
417 N Longstreet St
Kingstree, SC 29556-3335
Phone
(843) 687-3909
NPI assigned
Oct 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X RCP943 SC Primary

Addresses

Primary practice location

417 N Longstreet St
Kingstree, SC 29556-3335

Mailing address

482 Nelson Blvd
Kingstree, SC 29556-4025
Phone (843) 355-5545

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
RCP943SCMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Medical Supplies and Equipment, LLC CurrentSince Jan 8, 2023 Accepting new patients

Locations

482 Nelson Blvd
Kingstree, SC 29556
Phone (843) 355-5545

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1194442079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 NELSON BLVD",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564025",
            "telephone_number": "843-355-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N LONGSTREET ST",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295563335",
            "telephone_number": "843-687-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETSELL",
        "first_name": "JOSEPH",
        "middle_name": "EDMUND",
        "credential": "RESPIRATORY THERAPIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "SC",
            "license": "RCP943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingstree, SC

Sources for this page

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