Active NPI
Jabari Tariq McClendon, CRT
- Certified Respiratory Therapist
- King George, VA
National Provider Identifier
1316705304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 0117009294
- Practice address
- 5114 Spinnaker LN
King George, VA 22485-3163 - Phone
- (757) 270-6181
- NPI assigned
- Mar 13, 2024
- 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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 0117009294 | VA | Primary |
Addresses
Primary practice location
5114 Spinnaker LN
King George, VA 22485-3163
Mailing address
5114 Spinnaker LN
King George, VA 22485-3163
Phone (757) 270-6181
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 |
|---|---|---|---|
| 0117009294 | VA | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1316705304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5114 SPINNAKER LN",
"city": "KING GEORGE",
"state": "VA",
"postal_code": "224853163",
"telephone_number": "757-270-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5114 SPINNAKER LN",
"city": "KING GEORGE",
"state": "VA",
"postal_code": "224853163",
"telephone_number": "757-270-6181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLENDON",
"first_name": "JABARI",
"middle_name": "TARIQ",
"name_prefix": "Mr.",
"credential": "CRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-13",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "VA",
"license": "0117009294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King George, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.