Organization Active NPI

Cardiopulmonary Provider Inc

  • Certified Respiratory Therapist
  • Memphis, TN
National Provider Identifier
1417987199
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
Legal business name
CARDIOPULMONARY PROVIDER INC
Practice address
1131 S Prescott St
Memphis, TN 38111-5555
Phone
(901) 854-9294
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Willie E. Mosby, CRTT
Title
Ceo
Phone
(901) 854-9294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 227800000X TN Primary

Addresses

Primary practice location

1131 S Prescott St
Memphis, TN 38111-5555

Mailing address

PO Box 11486
Memphis, TN 38111-0486
Phone (901) 854-9294

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417987199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11486",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381110486",
            "telephone_number": "901-854-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 S PRESCOTT ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381115555",
            "telephone_number": "901-854-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOPULMONARY PROVIDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSBY",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-854-9294",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRTT"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Certified",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.