Individual provider Active NPI

Lynae Armitstead Park, RRT

  • Registered Respiratory Therapist
  • West Jordan, UT
National Provider Identifier
1356710420
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
9178653-5701 Issued in UT
Practice address
3851 W Cobble Ridge Dr Apt 9108
West Jordan, UT 84084-4924
Phone
(801) 680-7363
NPI assigned
Sep 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 9178653-5701 UT Primary

Addresses

Primary practice location

3851 W Cobble Ridge Dr Apt 9108
West Jordan, UT 84084-4924

Mailing address

3851 W Cobble Ridge Dr Apt 9108
West Jordan, UT 84084-4924
Phone (801) 680-7363

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
9178653-5701UTMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1356710420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 W COBBLE RIDGE DR APT 9108",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840844924",
            "telephone_number": "801-680-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 W COBBLE RIDGE DR APT 9108",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840844924",
            "telephone_number": "801-680-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "LYNAE",
        "middle_name": "ARMITSTEAD",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "UT",
            "license": "9178653-5701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.