Individual provider Active NPI

Gbolahan Harris, RRT

  • Registered Respiratory Therapist
  • Houston, TX
National Provider Identifier
1659725729
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
62233 Issued in TX
Practice address
1241 W 17TH St
Houston, TX 77008-3439
Phone
(832) 964-6216
Fax
(832) 964-6216
NPI assigned
Apr 14, 2016
Last updated
Apr 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 62233 TX Primary
Critical Care Registered Respiratory Therapist 2279C0205X 62233 TX
Educational Registered Respiratory Therapist 2279E1000X 62233 TX
General Care Registered Respiratory Therapist 2279G1100X 62233 TX
Home Health Registered Respiratory Therapist 2279H0200X 62233 TX
Palliative/Hospice Registered Respiratory Therapist 2279P3800X 62233 TX
Neonatal/Pediatric Registered Respiratory Therapist 2279P3900X 62233 TX

Addresses

Primary practice location

1241 W 17TH St
Houston, TX 77008-3439

Mailing address

1300 W 19TH St
7774
Houston, TX 77008-1689
Phone (832) 964-6216

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
62233TXMDHome Health Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1659725729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W 19TH ST",
            "address_2": "7774",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081689",
            "telephone_number": "832-964-6216",
            "fax_number": "832-964-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 W 17TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083439",
            "telephone_number": "832-964-6216",
            "fax_number": "832-964-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "GBOLAHAN",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "TX",
            "license": "62233",
            "primary": true
        },
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "TX",
            "license": "62233",
            "primary": false
        },
        {
            "code": "2279E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Educational",
            "state": "TX",
            "license": "62233",
            "primary": false
        },
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "TX",
            "license": "62233",
            "primary": false
        },
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": "TX",
            "license": "62233",
            "primary": false
        },
        {
            "code": "2279P3800X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Palliative/Hospice",
            "state": "TX",
            "license": "62233",
            "primary": false
        },
        {
            "code": "2279P3900X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
            "state": "TX",
            "license": "62233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.