Active NPI
Fay Wendell Witcher II, CRT, RPSGT
- General Care Certified Respiratory Therapist
- Gallatin, TN
National Provider Identifier
1427283688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Care Certified Respiratory Therapist
- License
- CRT0000003166
- Practice address
- 258 E Main St
Suite B
Gallatin, TN 37066-2961 - Phone
- (615) 575-4176
- Fax
- (615) 452-9652
- NPI assigned
- May 18, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Care Certified Respiratory Therapist | 2278G1100X | CRT0000003166 | TN | Primary |
Addresses
Primary practice location
258 E Main St
Suite B
Gallatin, TN 37066-2961
Mailing address
258 E Main St
Suite B
Gallatin, TN 37066-2961
Phone (615) 575-4176
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
| License | State | Type | Specialty |
|---|---|---|---|
| CRT0000003166 | TN | MD | General Care Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tricare Medical Supplies, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Gallatin, TN
- NPI 1730372798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242604800000",
"number": "1427283688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 E MAIN ST",
"address_2": "SUITE B",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370662961",
"telephone_number": "615-575-4176",
"fax_number": "615-452-9652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 E MAIN ST",
"address_2": "SUITE B",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370662961",
"telephone_number": "615-575-4176",
"fax_number": "615-452-9652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITCHER",
"first_name": "FAY",
"middle_name": "WENDELL",
"name_suffix": "II",
"credential": "CRT, RPSGT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-18",
"last_updated": "2009-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "2278G1100X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, General Care",
"state": "TN",
"license": "CRT0000003166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.