Individual provider Active NPI

Julie Kincheloe, CRT

  • Pulmonary Rehabilitation Certified Respiratory Therapist
  • Henderson, NV
National Provider Identifier
1285844258
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Rehabilitation Certified Respiratory TherapistTaxonomy code 2278P1005X
License
RC1051 Issued in NV
Practice address
1655 W. Horizon Ridge Parkway
Suite 100
Henderson, NV 89012-0000
Phone
(702) 914-2790
Fax
(702) 914-5984
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Rehabilitation Certified Respiratory Therapist 2278P1005X RC1051 NV Primary

Addresses

Primary practice location

1655 W. Horizon Ridge Parkway
Suite 100
Henderson, NV 89012-0000

Mailing address

5316 El Dorado Way
Las Vegas, NV 89142-1792
Phone (702) 641-5757

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
RC1051NVMDPulmonary Rehabilitation Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1285844258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 EL DORADO WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891421792",
            "telephone_number": "702-641-5757",
            "fax_number": "702-641-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 W. HORIZON RIDGE PARKWAY",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890120000",
            "telephone_number": "702-914-2790",
            "fax_number": "702-914-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCHELOE",
        "first_name": "JULIE",
        "credential": "CRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": "NV",
            "license": "RC1051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.