Individual provider Active NPI

Shirley Marie Bounds, RRT

  • Registered Respiratory Therapist
  • Grand Rapids, MI
National Provider Identifier
1326353046
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RT-P-001297 Issued in OR
Practice address
2900 Charlevoix Dr SE
Grand Rapids, MI 49546-7085
Phone
(800) 634-9581
NPI assigned
Aug 18, 2010
Last updated
Aug 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RT-P-001297 OR Primary
Registered Respiratory Therapist 227900000X 00029024 CA
Registered Respiratory Therapist 227900000X 008806 AZ
Registered Respiratory Therapist 227900000X RT 10018 FL
Registered Respiratory Therapist 227900000X LR 00003229 WA
Registered Respiratory Therapist 227900000X 30007580A IN
Registered Respiratory Therapist 227900000X 122-0000441 VT

Addresses

Primary practice location

2900 Charlevoix Dr SE
Grand Rapids, MI 49546-7085

Mailing address

125 Rouge Street
PO Box 626
Winston, OR 97496
Phone (541) 285-4595

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
008806AZMDRegistered Respiratory Therapist
00029024CAMDRegistered Respiratory Therapist
RT 10018FLMDRegistered Respiratory Therapist
30007580AINMDRegistered Respiratory Therapist
RT-P-001297ORMDRegistered Respiratory Therapist
122-0000441VTMDRegistered Respiratory Therapist
LR 00003229WAMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1326353046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ROUGE STREET",
            "address_2": "PO BOX 626",
            "city": "WINSTON",
            "state": "OR",
            "postal_code": "97496",
            "telephone_number": "541-285-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CHARLEVOIX DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467085",
            "telephone_number": "800-634-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUNDS",
        "first_name": "SHIRLEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "OR",
            "license": "RT-P-001297",
            "primary": true
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CA",
            "license": "00029024",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "AZ",
            "license": "008806",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "FL",
            "license": "RT 10018",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "WA",
            "license": "LR 00003229",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "IN",
            "license": "30007580A",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "VT",
            "license": "122-0000441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.