Active NPI
Shirley Warren, CRT
- Home Health Certified Respiratory Therapist
- Dallas, TX
National Provider Identifier
1801062039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Certified Respiratory Therapist
- License
- 54742
- Practice address
- 5925 Maple Ave
Suite 150
Dallas, TX 75235-6515 - Phone
- (214) 353-9090
- Fax
- (214) 353-9594
- NPI assigned
- May 7, 2008
- 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 |
|---|---|---|---|---|
| Home Health Certified Respiratory Therapist | 2278H0200X | 54742 | TX | Primary |
Addresses
Primary practice location
5925 Maple Ave
Suite 150
Dallas, TX 75235-6515
Mailing address
5925 Maple Ave
Suite 150
Dallas, TX 75235-6515
Phone (214) 353-9090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1754376-01 | Other | MEDICAID TPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 54742 | TX | MD | Home Health Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1801062039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5925 MAPLE AVE",
"address_2": "SUITE 150",
"city": "DALLAS",
"state": "TX",
"postal_code": "752356515",
"telephone_number": "214-353-9090",
"fax_number": "214-353-9594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5925 MAPLE AVE",
"address_2": "SUITE 150",
"city": "DALLAS",
"state": "TX",
"postal_code": "752356515",
"telephone_number": "214-353-9090",
"fax_number": "214-353-9594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "SHIRLEY",
"name_prefix": "Mrs.",
"credential": "CRT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2278H0200X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Home Health",
"state": "TX",
"license": "54742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID TPI",
"identifier": "1754376-01",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.