Active NPI
Asa Clarence Jenrette Jr., R.R.T., M.B.A.
- Registered Respiratory Therapist
- Hampton, VA
National Provider Identifier
1225066038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 0117002863
- Practice address
- 5 Blackberry LN
Hampton, VA 23669-6003 - Phone
- (757) 722-9961
- Fax
- (757) 728-3187
- NPI assigned
- Jun 29, 2006
- 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 |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 0117002863 | VA | Primary |
Addresses
Primary practice location
5 Blackberry LN
Hampton, VA 23669-6003
Mailing address
5 Blackberry LN
Hampton, VA 23669-6003
Phone (757) 722-9961
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
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0117002863 | VA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225066038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BLACKBERRY LN",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236696003",
"telephone_number": "757-722-9961",
"fax_number": "757-728-3187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 BLACKBERRY LN",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236696003",
"telephone_number": "757-722-9961",
"fax_number": "757-728-3187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENRETTE",
"first_name": "ASA",
"middle_name": "CLARENCE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "R.R.T., M.B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "VA",
"license": "0117002863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.