Active NPI
Phedette Courage, CRT
- General Care Certified Respiratory Therapist
- Florida City, FL
National Provider Identifier
1629232376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Care Certified Respiratory Therapist
- License
- TT13768
- Practice address
- 335 S Krome Ave
Florida City, FL 33034-4906 - Phone
- (305) 242-8122
- NPI assigned
- Jul 11, 2008
- Last updated
- Jul 11, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TT 13768 | Other | FL | RESPIRATORY 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
| License | State | Type | Specialty |
|---|---|---|---|
| TT13768 | FL | MD | General Care Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Child Physical Disabilities Respite Care
- Homestead, FL
- NPI 1134594906
-
- Non-emergency Medical Transport (VAN)
- Florida City, FL
- NPI 1164924619
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
- Cristina Collado Gomez, RBT
- Patrice M. Collier, PT
- Community Health of South Florida, Inc.
- Community Health of South Florida, Inc.
- Janet Elizabeth Copeland, SLP
- Alicia Crespo Estrada, RBT
- Roberto Manuel Cruz Gomez, MD, MHSA
- Csi-Pediatric Services, LLC (CSI Special Care)
- Farid Cumplido
- Shaneka Cunningham, APRN
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.