Individual provider Active NPI

Michael Wayne Samp, RRT,CPFT,RCP

  • Registered Respiratory Therapist
  • Odessa, TX
National Provider Identifier
1215429592
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RCP00051464 Issued in TX
Practice address
2807 Windsor Dr
Odessa, TX 79762
Phone
(432) 242-1020
NPI assigned
Jun 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 227900000X RCP00051464 TX Primary

Addresses

Primary practice location

2807 Windsor Dr
Odessa, TX 79762

Mailing address

PO Box 12034
Odessa, TX 79768-2034

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
RCP00051464TXMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1527984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1215429592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12034",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797682034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 WINDSOR DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79762",
            "telephone_number": "432-242-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMP",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "credential": "RRT,CPFT,RCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-03",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": "TX",
            "license": "RCP00051464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.