Individual provider Active NPI

George David Earley IV, RRT RCP CPFT

  • Pulmonary Diagnostics Registered Respiratory Therapist
  • Burien, WA
National Provider Identifier
1447553516
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Diagnostics Registered Respiratory TherapistTaxonomy code 2279P1004X
License
LR60622479 Issued in WA
Practice address
16203 1St Ave S
Burien, WA 98148-1402
Phone
(910) 703-0928
NPI assigned
Dec 13, 2010
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X A-3410 NC
Pulmonary Diagnostics Registered Respiratory Therapist 2279P1004X LR60622479 WA Primary

Addresses

Primary practice location

16203 1St Ave S
Burien, WA 98148-1402

Mailing address

16203 1St Ave S
Burien, WA 98148-1402
Phone (910) 703-0928

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
A-3410NCMDRegistered Respiratory Therapist
LR60622479WAMDPulmonary Diagnostics Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Belmar Cardiopulmonary Diagnostic Center PLLC CurrentSince Mar 12, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447553516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16203 1ST AVE S",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481402",
            "telephone_number": "910-703-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16203 1ST AVE S",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481402",
            "telephone_number": "910-703-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLEY",
        "first_name": "GEORGE",
        "middle_name": "DAVID",
        "name_suffix": "IV",
        "credential": "RRT RCP CPFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-13",
        "last_updated": "2023-03-07",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NC",
            "license": "A-3410",
            "primary": false
        },
        {
            "code": "2279P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": "WA",
            "license": "LR60622479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.