Active NPI
Nahid Venus Kadir Moshrefi, RESPIRATORYTHERAPIST
- Registered Respiratory Therapist
- Monument, CO
National Provider Identifier
1467580282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 12039
- Practice address
- 212 Washington St
F
Monument, CO 80132-9173 - Phone
- (719) 219-9646
- Fax
- (719) 302-4560
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 12039 | CA | Primary |
Addresses
Primary practice location
212 Washington St
F
Monument, CO 80132-9173
Mailing address
481 Highway 105
210
Monument, CO 80132-9165
Phone (719) 219-9646
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 |
|---|---|---|---|
| 12039 | CA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467580282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 HIGHWAY 105",
"address_2": "210",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801329165",
"telephone_number": "719-219-9646",
"fax_number": "719-302-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 WASHINGTON ST",
"address_2": "F",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801329173",
"telephone_number": "719-219-9646",
"fax_number": "719-302-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSHREFI",
"first_name": "NAHID VENUS",
"middle_name": "KADIR",
"credential": "RESPIRATORYTHERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "CA",
"license": "12039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monument, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.