Individual provider Active NPI

Debbie Lynn Villeneuve, RT

  • Pulmonary Rehabilitation Certified Respiratory Therapist
  • Bullhead City, AZ
National Provider Identifier
1417286238
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Rehabilitation Certified Respiratory TherapistTaxonomy code 2278P1005X
License
4603 Issued in AZ
Practice address
2585 S Miracle Mile Ste 107
Bullhead City, AZ 86442-7553
Phone
(928) 444-8168
Fax
(928) 444-8169
NPI assigned
Dec 8, 2009
Last updated
Dec 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Rehabilitation Certified Respiratory Therapist 2278P1005X 4603 AZ Primary

Addresses

Primary practice location

2585 S Miracle Mile Ste 107
Bullhead City, AZ 86442-7553

Mailing address

2585 S Miracle Mile Ste 107
Bullhead City, AZ 86442-7553
Phone (928) 444-8168

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
4603AZMDPulmonary Rehabilitation Certified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Healthcare of Arizona,LLC. PastSince Mar 5, 2012 Accepting new patients
Paragon Physical Therapy and Rehab, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1417286238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 S MIRACLE MILE STE 107",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427553",
            "telephone_number": "928-444-8168",
            "fax_number": "928-444-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 S MIRACLE MILE STE 107",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427553",
            "telephone_number": "928-444-8168",
            "fax_number": "928-444-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLENEUVE",
        "first_name": "DEBBIE",
        "middle_name": "LYNN",
        "credential": "RT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": "AZ",
            "license": "4603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.