Individual provider Active NPI

Karla Renee Enderle, RRT

  • Pulmonary Diagnostics Certified Respiratory Therapist
  • Fayetteville, AR
National Provider Identifier
1649876327
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Diagnostics Certified Respiratory TherapistTaxonomy code 2278P1004X
License
RCP-3081 Issued in AR
Practice address
1100 N College Ave
Fayetteville, AR 72703-1944
Phone
(479) 443-4301
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Certified Respiratory Therapist 2278E0002X RCP-3081 AR
General Care Certified Respiratory Therapist 2278G1100X RCP-3081 AR
Pulmonary Rehabilitation Certified Respiratory Therapist 2278P1005X RCP-3081 AR
Palliative/Hospice Registered Respiratory Therapist 2279P3800X RCP-3081 AR
Pulmonary Diagnostics Certified Respiratory Therapist 2278P1004X RCP-3081 AR Primary
Registered Respiratory Therapist 227900000X RCP-3081 AR
Critical Care Registered Respiratory Therapist 2279C0205X RCP-3081 AR
Educational Registered Respiratory Therapist 2279E1000X RCP-3081 AR
Pulmonary Function Technologist Registered Respiratory Therapist 2279P1006X RCP-3081 AR

Addresses

Primary practice location

1100 N College Ave
Fayetteville, AR 72703-1944

Mailing address

1730 S Sinclair Ave
Fayetteville, AR 72701-8085
Phone (479) 445-0385

Other names 1

  • Karla Renee Enderle Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL karla.enderle1@va.gov Veterans Healthcare System

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
RCP-3081ARMDCritical Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1649876327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 S SINCLAIR AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727018085",
            "telephone_number": "479-445-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031944",
            "telephone_number": "479-443-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDERLE",
        "first_name": "KARLA",
        "middle_name": "RENEE",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278E0002X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Emergency Care",
            "state": "AR",
            "license": "RCP-3081",
            "primary": false
        },
        {
            "code": "2278G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": "AR",
            "license": "RCP-3081",
            "primary": false
        },
        {
            "code": "2278P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": "AR",
            "license": "RCP-3081",
            "primary": false
        },
        {
            "code": "2279P3800X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Palliative/Hospice",
            "state": "AR",
            "license": "RCP-3081",
            "primary": false
        },
        {
            "code": "2278P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Diagnostics",
            "state": "AR",
            "license": "RCP-3081",
            "primary": true
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "AR",
            "license": "RCP-3081",
            "primary": false
        },
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "AR",
            "license": "RCP-3081",
            "primary": false
        },
        {
            "code": "2279E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Educational",
            "state": "AR",
            "license": "RCP-3081",
            "primary": false
        },
        {
            "code": "2279P1006X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Function Technologist",
            "state": "AR",
            "license": "RCP-3081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "karla.enderle1@va.gov",
            "affiliation": "Y",
            "affiliationName": "Veterans Healthcare System",
            "address_1": "1100 N College Ave",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727031944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "ENDERLE",
            "middle_name": "RENEE",
            "credential": "RRT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.