Individual provider Active NPI

Yolanda Gail Shields, CRT, AE-C

  • Educational Certified Respiratory Therapist
  • Fort Campbell, KY
National Provider Identifier
1215167903
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Educational Certified Respiratory TherapistTaxonomy code 2278E1000X
Practice address
650 Joel Dr
Blanchfield Army Community Hospital
Fort Campbell, KY 42223-5318
Phone
(270) 956-0141
NPI assigned
Jul 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Certified Respiratory Therapist 2278C0205X
Emergency Care Certified Respiratory Therapist 2278E0002X
General Care Certified Respiratory Therapist 2278G1100X
Pulmonary Function Technologist Certified Respiratory Therapist 2278P1006X
Educational Certified Respiratory Therapist 2278E1000X Primary

Addresses

Primary practice location

650 Joel Dr
Blanchfield Army Community Hospital
Fort Campbell, KY 42223-5318

Mailing address

650 Joel Dr
Blanchfield Army Community Hospital
Fort Campbell, KY 42223-5318
Phone (270) 956-0141

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

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1215167903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "address_2": "BLANCHFIELD ARMY COMMUNITY HOSPITAL",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-956-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "address_2": "BLANCHFIELD ARMY COMMUNITY HOSPITAL",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-956-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "YOLANDA",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "CRT, AE-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Critical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278E0002X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278P1006X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Function Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Educational",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Campbell, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.