Active NPI
Kseniya Duvall, RRT-NPS
- Neonatal/Pediatric Registered Respiratory Therapist
- Augusta, GA
National Provider Identifier
1639989031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal/Pediatric Registered Respiratory Therapist
- License
- 10321
- Practice address
- 1446 Harper St
Augusta, GA 30912-0012 - Phone
- (706) 721-5437
- NPI assigned
- Jan 9, 2025
- 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 |
|---|---|---|---|---|
| Neonatal/Pediatric Registered Respiratory Therapist | 2279P3900X | 10321 | GA | Primary |
Addresses
Primary practice location
1446 Harper St
Augusta, GA 30912-0012
Mailing address
1446 Harper St
Augusta, GA 30912-0012
Phone (706) 721-5437
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 |
|---|---|---|---|
| 10321 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1639989031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1446 HARPER ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120012",
"telephone_number": "706-721-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1446 HARPER ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120012",
"telephone_number": "706-721-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVALL",
"first_name": "KSENIYA",
"credential": "RRT-NPS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2279P3900X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
"state": "GA",
"license": "10321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.