Active NPI
Rosa Lee Hollie
- Patient Transport Registered Respiratory Therapist
- Lake City, FL
National Provider Identifier
1710550009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Patient Transport Registered Respiratory Therapist
- Practice address
- 550 SW Thompkins Loop
Lake City, FL 32025-2177 - Phone
- (386) 344-4771
- NPI assigned
- Jul 23, 2021
- 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 |
|---|---|---|---|---|
| Patient Transport Registered Respiratory Therapist | 2279P4000X | Primary |
Addresses
Primary practice location
550 SW Thompkins Loop
Lake City, FL 32025-2177
Mailing address
550 SW Thompkins Loop
Lake City, FL 32025-2177
Phone (386) 344-4771
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1710550009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 SW THOMPKINS LOOP",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320252177",
"telephone_number": "386-344-4771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 SW THOMPKINS LOOP",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320252177",
"telephone_number": "386-344-4771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIE",
"first_name": "ROSA",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2279P4000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Patient Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.