Organization Active NPI

Family Respiratory Services LLC

  • Durable Medical Equipment & Medical Supplies
  • Tazewell, TN
National Provider Identifier
1386646511
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
800 Issued in TN
Legal business name
FAMILY RESPIRATORY SERVICES LLC
Practice address
411 Blue Top Rd
Ste 3
Tazewell, TN 37879-3118
Phone
(423) 626-6451
NPI assigned
Jun 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Lana Ellison
Title
Office Manager
Phone
(423) 626-6451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 800 TN Primary

Addresses

Primary practice location

411 Blue Top Rd
Ste 3
Tazewell, TN 37879-3118

Mailing address

411 Blue Top Rd
Ste 3
Tazewell, TN 37879-3118
Phone (423) 626-6451

Other identifiers 4

IdentifierTypeStateIssuer
4076834OtherTNB C/BS
9008152MedicaidKY
1454489MedicaidTN
010099269MedicaidVA

National Provider Directory

National Provider Directory

Locations

411 Blue Top Rd
Ste 3
Tazewell, TN 37879
Phone (423) 626-6451

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1386646511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BLUE TOP RD",
            "address_2": "STE 3",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793118",
            "telephone_number": "423-626-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 BLUE TOP RD",
            "address_2": "STE 3",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793118",
            "telephone_number": "423-626-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RESPIRATORY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-626-6451"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B C/BS",
            "identifier": "4076834",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9008152",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454489",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010099269",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.