Active NPI
Jean Renaud Fenelon, RRT
- General Care Registered Respiratory Therapist
- Miami, FL
National Provider Identifier
1255606992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Care Registered Respiratory Therapist
- License
- RT 11579
- Practice address
- 880 NW 210TH St Apt 203
Miami, FL 33169-7003 - Phone
- (786) 263-8355
- NPI assigned
- Mar 14, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Care Registered Respiratory Therapist | 2279G1100X | RT 11579 | FL | Primary |
Addresses
Primary practice location
880 NW 210TH St Apt 203
Miami, FL 33169-7003
Mailing address
880 NW 210TH St Apt 203
Miami, FL 33169-7003
Phone (786) 263-8355
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 |
|---|---|---|---|
| RT 11579 | FL | MD | General Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1255606992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 NW 210TH ST APT 203",
"city": "MIAMI",
"state": "FL",
"postal_code": "331697003",
"telephone_number": "786-263-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 NW 210TH ST APT 203",
"city": "MIAMI",
"state": "FL",
"postal_code": "331697003",
"telephone_number": "786-263-8355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENELON",
"first_name": "JEAN",
"middle_name": "RENAUD",
"name_prefix": "Mr.",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-14",
"last_updated": "2012-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "2279G1100X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, General Care",
"state": "FL",
"license": "RT 11579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.