Individual provider Active NPI

Shenita Russell, RRT

  • Pulmonary Rehabilitation Registered Respiratory Therapist
  • Hot Springs, AR
National Provider Identifier
1427694181
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Rehabilitation Registered Respiratory TherapistTaxonomy code 2279P1005X
License
164770 Issued in AR
Practice address
190 Aviation PLZ Ste a-D
Hot Springs, AR 71913-5529
Phone
(501) 525-2770
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Rehabilitation Registered Respiratory Therapist 2279P1005X 164770 AR Primary

Addresses

Primary practice location

190 Aviation PLZ Ste a-D
Hot Springs, AR 71913-5529

Mailing address

190 Aviation PLZ Ste a-D
Hot Springs, AR 71913-5529
Phone (501) 525-2770

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL completepulmonaryrehab.com

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
164770ARMDPulmonary Rehabilitation Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1427694181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 AVIATION PLZ STE A-D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719135529",
            "telephone_number": "501-525-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 AVIATION PLZ STE A-D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719135529",
            "telephone_number": "501-525-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SHENITA",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": "AR",
            "license": "164770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "completepulmonaryrehab.com",
            "affiliation": "N",
            "address_1": "190 Aviation Plz Ste A-D",
            "city": "Hot Springs",
            "state": "AR",
            "country_code": "US",
            "postal_code": "719135529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.