Individual provider Active NPI

Nicole Lea Wenninghoff, RRT

  • Registered Respiratory Therapist
  • Holiday, FL
National Provider Identifier
1730838921
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RRT11273 Issued in FL
Practice address
4323 Crestfield Ave
Holiday, FL 34691-1604
Phone
(727) 483-0986
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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 RRT11273 FL Primary

Addresses

Primary practice location

4323 Crestfield Ave
Holiday, FL 34691-1604

Mailing address

4323 Crestfield Ave
Holiday, FL 34691-1604
Phone (727) 483-0986

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
RRT11273FLMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1730838921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 CRESTFIELD AVE",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346911604",
            "telephone_number": "727-483-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 CRESTFIELD AVE",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346911604",
            "telephone_number": "727-483-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNINGHOFF",
        "first_name": "NICOLE",
        "middle_name": "LEA",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "FL",
            "license": "RRT11273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.