Individual provider Active NPI

Wyyetta Parham, RRT

  • Registered Respiratory Therapist
  • Lauderdale Lakes, FL
National Provider Identifier
1730740614
Registry record updated Jun 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RT15749 Issued in FL
Practice address
2850 Somerset Dr Apt L101
Lauderdale Lakes, FL 33311-9343
Phone
(754) 302-6570
Fax
(954) 678-6036
NPI assigned
Jun 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RT15749 FL Primary

Addresses

Primary practice location

2850 Somerset Dr Apt L101
Lauderdale Lakes, FL 33311-9343

Mailing address

2850 Somerset Dr Apt L101
Lauderdale Lakes, FL 33311-9343
Phone (754) 302-6570

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
RT15749FLMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561161600000",
    "number": "1730740614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 SOMERSET DR APT L101",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333119343",
            "telephone_number": "754-302-6570",
            "fax_number": "954-678-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 SOMERSET DR APT L101",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333119343",
            "telephone_number": "754-302-6570",
            "fax_number": "954-678-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "WYYETTA",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-22",
        "last_updated": "2019-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "FL",
            "license": "RT15749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; 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.