Organization Active NPI

Respiratory Services of Northwest Florida, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Crestview, FL
National Provider Identifier
1336141589
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
7097 Issued in FL
Legal business name
RESPIRATORY SERVICES OF NORTHWEST FLORIDA, INC.
Practice address
502 E Pine Ave Ste B
Crestview, FL 32539-2818
Phone
(850) 689-5499
Fax
(850) 689-5404
NPI assigned
Jun 1, 2005
Last updated
Aug 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Ms. Nancy E Enfinger, RRT
Title
President
Phone
(850) 689-5499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 7097 FL Primary

Addresses

Primary practice location

502 E Pine Ave Ste B
Crestview, FL 32539-2818

Mailing address

502 E Pine Ave Ste B
Crestview, FL 32539-2818
Phone (850) 689-5499

Other identifiers 1

IdentifierTypeStateIssuer
951941600MedicaidFL

National Provider Directory

National Provider Directory

Locations

502 E Pine Ave
#B
Crestview, FL 32539
Phone (850) 689-5499

694 E James Lee Blvd
Crestview, FL 32539
Phone (850) 689-5499

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1336141589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E PINE AVE STE B",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325392818",
            "telephone_number": "850-689-5499",
            "fax_number": "850-689-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E PINE AVE STE B",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325392818",
            "telephone_number": "850-689-5499",
            "fax_number": "850-689-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESPIRATORY SERVICES OF NORTHWEST FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "ENFINGER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-689-5499",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "7097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951941600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.