Individual provider Active NPI

Blakely Sziszak, RT

  • Certified Respiratory Therapist
  • Little Rock, AR
National Provider Identifier
1366296030
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
Practice address
5905 Forest PL Ste 200
Little Rock, AR 72207-5287
Phone
(501) 566-1011
Fax
(501) 232-2000
NPI assigned
Apr 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X Primary

Addresses

Primary practice location

5905 Forest PL Ste 200
Little Rock, AR 72207-5287

Mailing address

190 Aviation PLZ Ste a-D
Hot Springs, AR 71913-5529
Phone (501) 525-2770

Other practice location 1

190 Aviation Plz Ste A-D
Hot Springs, AR 71913-5529
Phone (501) 525-2770

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Complete Care CurrentSince Jul 21, 2024 Accepting new patients
Arkansas Complete Care PastSince Apr 21, 2024 Accepting new patients

Locations

190 Aviation Plz
Ste Ad
Hot Springs National Park, AR 71913
Phone (501) 525-2770

5905 Forest Pl
Ste 200
Little Rock, AR 72207
Phone (501) 566-1011

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1366296030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 AVIATION PLZ STE A-D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719135529",
            "telephone_number": "501-525-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 FOREST PL STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075287",
            "telephone_number": "501-566-1011",
            "fax_number": "501-232-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Aviation Plz Ste A-D",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719135529",
            "country_code": "US",
            "telephone_number": "501-525-2770",
            "fax_number": "501-232-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZISZAK",
        "first_name": "BLAKELY",
        "credential": "RT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.