Organization Active NPI

Respira Adult Care Inc

  • Registered Nurse
  • Vancouver, WA
National Provider Identifier
1770139685
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
RESPIRA ADULT CARE INC
Practice address
3507 NE 152ND Ave
Vancouver, WA 98682-7325
Phone
(360) 530-9017
NPI assigned
Aug 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Ms. Melanie Rae Kingsbury, RNNPI 1639724594
Title
Entity Representative
Phone
(360) 530-9017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

3507 NE 152ND Ave
Vancouver, WA 98682-7325

Mailing address

3507 NE 152ND Ave
Vancouver, WA 98682-7325
Phone (360) 530-9017

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2262328Respira Adult Care3507 NE 152ND Ave, Vancouver, WA 98682Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

3507 NE 152nd Ave
Vancouver, WA 98682
Phone (360) 530-9017

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1770139685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 NE 152ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986827325",
            "telephone_number": "360-530-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 NE 152ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986827325",
            "telephone_number": "360-530-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESPIRA ADULT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "KINGSBURY",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "ENTITY REPRESENTATIVE",
        "authorized_official_telephone_number": "360-530-9017",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.