Active NPI
Blanchard Edouard, RRT
- Registered Respiratory Therapist
- Greenacres, FL
National Provider Identifier
1649521998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- RT9558
- Practice address
- 5040 Polaris CV
Greenacres, FL 33463-5920 - Phone
- (561) 715-4718
- NPI assigned
- Sep 26, 2012
- Sex
- Male
- 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 | RT9558 | FL | Primary |
Addresses
Primary practice location
5040 Polaris CV
Greenacres, FL 33463-5920
Mailing address
5040 Polaris CV
Greenacres, FL 33463-5920
Phone (561) 715-4718
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 |
|---|---|---|---|
| RT9558 | FL | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1649521998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5040 POLARIS CV",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334635920",
"telephone_number": "561-715-4718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5040 POLARIS CV",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334635920",
"telephone_number": "561-715-4718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDOUARD",
"first_name": "BLANCHARD",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-26",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "FL",
"license": "RT9558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.