Vince Poffenroth, RRT

Primary specialty

Neonatal/Pediatric Certified Respiratory TherapistTaxonomy code 2278P3900X

License

LR00003007 Issued in WA

Practice address

7804 206TH St SW
Edmonds, WA 98026-6862

Phone

(206) 491-9522

NPI assigned

Oct 19, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1366813156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 206TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980266862",
            "telephone_number": "206-491-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7804 206TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980266862",
            "telephone_number": "206-491-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POFFENROTH",
        "first_name": "VINCE",
        "name_prefix": "Mr.",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278P3900X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Neonatal/Pediatrics",
            "state": "WA",
            "license": "LR00003007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen Pilon, RN
• Pine Ridge SNF Healthcare LLC
• Christopher Paul Pitre, PA-C
• Alicia Marie Placko, ARNP, DNP
• Viktoriia Plisenko, LMHC
• Tony D. Pool, O.D.
• Aliese Lynn Poole
• Hannah Pope
• Claire Popke
• Alyssa Ryan Porcaro, LMT

• Certified Respiratory Therapist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Certified Respiratory Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.