Individual provider Active NPI

Virginia Nicolas, RESPIRATORY THERAPY

  • Registered Respiratory Therapist
  • Redlands, CA
National Provider Identifier
1376092882
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
16368 Issued in CA
Practice address
1902 Orange Tree LN Ste 160
Redlands, CA 92374-4527
Phone
(909) 904-3387
Fax
(909) 614-8080
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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 16368 CA Primary

Addresses

Primary practice location

1902 Orange Tree LN Ste 160
Redlands, CA 92374-4527

Mailing address

29030 Easton LN
Highland, CA 92346-7752
Phone (909) 556-7580

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
16368CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Goodnite Sleep Solution,LLC Past Accepting new patients
Goodnite Sleep Solution, LLC Past Accepting new patients

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1376092882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29030 EASTON LN",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923467752",
            "telephone_number": "909-556-7580",
            "fax_number": "909-614-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 ORANGE TREE LN STE 160",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744527",
            "telephone_number": "909-904-3387",
            "fax_number": "909-614-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAS",
        "first_name": "VIRGINIA",
        "name_prefix": "Mrs.",
        "credential": "RESPIRATORY THERAPY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CA",
            "license": "16368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.