Organization Active NPI

Jessie R. Pruitt Dba Sleep 2 Go

  • Durable Medical Equipment & Medical Supplies
  • Amarillo, TX
National Provider Identifier
1447536057
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1000557 Issued in TX
Legal business name
JESSIE R. PRUITT DBA SLEEP 2 GO
Practice address
6652 Canyon Dr Ste 3
Amarillo, TX 79109-7013
Phone
(806) 322-0941
NPI assigned
Oct 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Ms. Jessie Raylene Pruitt, C.R.T.NPI 1144515123
Title
Owner
Phone
(806) 322-0941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1000557 TX Primary

Addresses

Primary practice location

6652 Canyon Dr Ste 3
Amarillo, TX 79109-7013

Mailing address

6652 Canyon Dr Ste 3
Amarillo, TX 79109-7013
Phone (806) 322-0941

Other identifiers 1

IdentifierTypeStateIssuer
1000557OtherTXTEXAS DEPARTMENT OF HEALTH DEVICE DISTRIBUTOR LICENSE

National Provider Directory

National Provider Directory

Locations

6652 Canyon Dr
Ste 3
Amarillo, TX 79109
Phone (806) 322-0941

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1447536057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6652 CANYON DR STE 3",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791097013",
            "telephone_number": "806-322-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6652 CANYON DR STE 3",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791097013",
            "telephone_number": "806-322-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSIE R. PRUITT DBA SLEEP 2 GO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "RAYLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-322-0941",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.R.T."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF HEALTH DEVICE DISTRIBUTOR LICENSE",
            "identifier": "1000557",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.