Pulmonary Health Services

Primary specialty

Certified Respiratory TherapistTaxonomy code 227800000X

License

6209500-5701 Issued in UT

Legal business name

PULMONARY HEALTH SERVICES

Practice address

2307 N Hill Field Rd Ste 102
Layton, UT 84041-6890

Phone

(801) 266-0399

Fax

(801) 266-0421

NPI assigned

May 22, 2013

Last updated

Aug 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Mary Cannon

Title

Chief Executive Officer

Phone

(801) 266-0399

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kory Poulsen, RRT

  • Registered Respiratory Therapist
  • Layton, UT
  • NPI 1427494186
  NPD (past)

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1497191001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 S 900 E STE 107",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841173905",
            "telephone_number": "801-266-0399",
            "fax_number": "801-266-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 N HILL FIELD RD STE 102",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840416890",
            "telephone_number": "801-266-0399",
            "fax_number": "801-266-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "801-266-0399",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "UT",
            "license": "6209500-5701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTHEALTH",
            "identifier": "103007426101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBER",
            "identifier": "44447000001001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "73301",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET MUTUAL",
            "identifier": "781709",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00291261",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM000064662",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "61101",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Professional Dental LLC
• Professional Plaza Pharmacy Inc
• Crystal Pugmire
• Aubree Jane Pulley
• Katharina Pulli
• Joseph S Puntasecca, LCSW, LMSW
• Russell Purdy, OD
• Cristina Putnam
• Carrie Quartuccio
• Nathan Mickey Quigley

• Certified Respiratory Therapist in Layton, UT
• Providers in Layton, UT by specialty
• Certified Respiratory Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.