Julia Byrne

Individual provider Active NPI Registered Respiratory Therapist · Moraine, OH

NPI 1336754530 · NPPES record last updated Sep 14, 2020

Key facts

NPI
1336754530
Entity type
Individual (NPI type 1)
Primary specialty
Registered Respiratory Therapist 227900000X
License
7849 (OH)
Practice address
3170 Kettering Blvd
Moraine, OH 45439-1924
Phone
(937) 208-6400
Fax
(937) 641-7217
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7849OHMDRegistered Respiratory Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 7849 OH Yes

Addresses

Primary practice location

3170 Kettering Blvd
Moraine, OH 45439-1924

Mailing address

3170 Kettering Blvd
Moraine, OH 45439-1924
Phone (937) 208-6400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 14, 2020.

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1336754530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-208-6400",
            "fax_number": "937-641-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-208-6400",
            "fax_number": "937-641-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "JULIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "OH",
            "license": "7849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moraine, OH

All providers in Moraine, OH · Registered Respiratory Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.