Active NPI
Vance Keith Purdue Sr., RRT
- Critical Care Registered Respiratory Therapist
- Montrose, CO
National Provider Identifier
1205078474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Registered Respiratory Therapist
- License
- 959
- Practice address
- 1312 Pitchfork Rd
Montrose, CO 81401-5994 - Phone
- (970) 765-5525
- NPI assigned
- Apr 2, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Critical Care Registered Respiratory Therapist | 2279C0205X | 959 | CO | Primary |
Addresses
Primary practice location
1312 Pitchfork Rd
Montrose, CO 81401-5994
Mailing address
1312 Pitchfork Rd
Montrose, CO 81401-5994
Phone (970) 765-5525
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 |
|---|---|---|---|
| 959 | CO | MD | Critical Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238630400000",
"number": "1205078474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 PITCHFORK RD",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015994",
"telephone_number": "970-765-5525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 PITCHFORK RD",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015994",
"telephone_number": "970-765-5525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDUE",
"first_name": "VANCE",
"middle_name": "KEITH",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-02",
"last_updated": "2009-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2279C0205X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Critical Care",
"state": "CO",
"license": "959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.