Active NPI
Kory Poulsen, RRT
- Registered Respiratory Therapist
- Layton, UT
National Provider Identifier
1427494186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 6209500-5701
- Practice address
- 2307 N Hill Field Rd Ste 102
Layton, UT 84041-6890 - Phone
- (801) 825-0200
- Fax
- (801) 266-0421
- NPI assigned
- May 21, 2013
- 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 |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 6209500-5701 | UT | Primary |
Addresses
Primary practice location
2307 N Hill Field Rd Ste 102
Layton, UT 84041-6890
Mailing address
2307 N Hill Field Rd Ste 102
Layton, UT 84041-6890
Phone (801) 825-0200
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 |
|---|---|---|---|
| 6209500-5701 | UT | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Health Services | 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.
-
- Certified Respiratory Therapist
- Layton, UT
- NPI 1497191001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1427494186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 N HILL FIELD RD STE 102",
"city": "LAYTON",
"state": "UT",
"postal_code": "840416890",
"telephone_number": "801-825-0200",
"fax_number": "801-266-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 N HILL FIELD RD STE 102",
"city": "LAYTON",
"state": "UT",
"postal_code": "840416890",
"telephone_number": "801-825-0200",
"fax_number": "801-266-0421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POULSEN",
"first_name": "KORY",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-21",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "UT",
"license": "6209500-5701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.