Individual provider Active NPI

Phedette Courage, CRT

  • General Care Certified Respiratory Therapist
  • Florida City, FL
National Provider Identifier
1629232376
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Care Certified Respiratory TherapistTaxonomy code 2278G1100X
License
TT13768 Issued in FL
Practice address
335 S Krome Ave
Florida City, FL 33034-4906
Phone
(305) 242-8122
NPI assigned
Jul 11, 2008
Last updated
Jul 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Certified Respiratory Therapist 2278G1100X TT13768 FL Primary

Addresses

Primary practice location

335 S Krome Ave
Florida City, FL 33034-4906

Mailing address

13020 SW 256TH St
Homestead, FL 33032-6925
Phone (305) 910-5460

Other identifiers 1

IdentifierTypeStateIssuer
TT 13768OtherFLRESPIRATORY THERAPY

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
TT13768FLMDGeneral Care Certified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Courage Living Care & Services Past Accepting new patients
Martinez Transportation Inc Past Accepting new patients

Organizations & group practices 2

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": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1629232376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 SW 256TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326925",
            "telephone_number": "305-910-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 S KROME AVE",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330344906",
            "telephone_number": "305-242-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURAGE",
        "first_name": "PHEDETTE",
        "credential": "CRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": "FL",
            "license": "TT13768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY THERAPY",
            "identifier": "TT 13768",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.