Organization Active NPI

Easy to Breathe LLC

  • Point of Service
  • Lake City, FL
National Provider Identifier
1457784746
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
TT Issued in FL
Legal business name
EASY TO BREATHE LLC
Practice address
547 NE Lake Dr
Lake City, FL 32055-3446
Phone
(386) 288-3990
Fax
(386) 438-5493
NPI assigned
Aug 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Mrs. Dorenda Middleton, CRTNPI 1538285549
Title
Manager/Owner
Phone
(386) 288-3990

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
Point of Service 305S00000X TT FL Primary

Addresses

Primary practice location

547 NE Lake Dr
Lake City, FL 32055-3446

Mailing address

PO Box 1952
Lake City, FL 32056-1952
Phone (386) 288-3990

Other identifiers 1

IdentifierTypeStateIssuer
005972000MedicaidFL

National Provider Directory

National Provider Directory

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": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1457784746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1952",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320561952",
            "telephone_number": "386-288-3990",
            "fax_number": "386-438-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 NE LAKE DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553446",
            "telephone_number": "386-288-3990",
            "fax_number": "386-438-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY TO BREATHE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "DORENDA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "386-288-3990",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "TT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005972000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.