Individual provider Active NPI

Rebecca Sue Henderson, CRT

  • Certified Respiratory Therapist
  • Oklahoma City, OK
National Provider Identifier
1376169078
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
License
2059 Issued in OK
Practice address
415 W Wilshire Blvd Ste a
Oklahoma City, OK 73116-7702
Phone
(405) 840-5272
Fax
(405) 840-5274
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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 2059 OK Primary

Addresses

Primary practice location

415 W Wilshire Blvd Ste a
Oklahoma City, OK 73116-7702

Mailing address

415 W Wilshire Blvd Ste a
Oklahoma City, OK 73116-7702
Phone (405) 840-5272

Other names 1

  • Miss Rebecca Sue Bates Former name

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
2059OKMDCertified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1376169078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W WILSHIRE BLVD STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167702",
            "telephone_number": "405-840-5272",
            "fax_number": "405-840-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W WILSHIRE BLVD STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167702",
            "telephone_number": "405-840-5272",
            "fax_number": "405-840-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "CRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "OK",
            "license": "2059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BATES",
            "middle_name": "SUE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.