Active NPI
Hubert Bass
- Registered Respiratory Therapist
- West Memphis, AR
National Provider Identifier
1801363668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 7017
- Practice address
- 483 N 28TH St
West Memphis, AR 72301-3645 - Phone
- (901) 281-3346
- NPI assigned
- Oct 30, 2018
- Last updated
- Oct 30, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 7017 | TN | Primary |
Addresses
Primary practice location
483 N 28TH St
West Memphis, AR 72301-3645
Mailing address
483 N 28TH St
West Memphis, AR 72301-3645
Phone (901) 281-3346
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 |
|---|---|---|---|
| 7017 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1801363668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 N 28TH ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013645",
"telephone_number": "901-281-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 N 28TH ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013645",
"telephone_number": "901-281-3346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "HUBERT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-30",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "TN",
"license": "7017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.