Active NPI
Julie Kincheloe, CRT
- Pulmonary Rehabilitation Certified Respiratory Therapist
- Henderson, NV
National Provider Identifier
1285844258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Rehabilitation Certified Respiratory Therapist
- License
- RC1051
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RC1051 | NV | MD | Pulmonary 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.