Individual provider Active NPI

Jodi Carnahan Tillery, RRT

  • Pulmonary Rehabilitation Registered Respiratory Therapist
  • Hot Springs, AR
National Provider Identifier
1821490202
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Rehabilitation Registered Respiratory TherapistTaxonomy code 2279P1005X
License
RCP-3581 Issued in AR
Practice address
190 Aviation PLZ
Suite C
Hot Springs, AR 71913-5529
Phone
(501) 525-2770
NPI assigned
Sep 17, 2014
Last updated
Sep 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RCP-3581 AR
Pulmonary Rehabilitation Registered Respiratory Therapist 2279P1005X RCP-3581 AR Primary

Addresses

Primary practice location

190 Aviation PLZ
Suite C
Hot Springs, AR 71913-5529

Mailing address

190 Aviation PLZ
Suite C
Hot Springs, AR 71913-5529
Phone (501) 525-2770

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
RCP-3581ARMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1821490202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 AVIATION PLZ",
            "address_2": "SUITE C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719135529",
            "telephone_number": "501-525-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 AVIATION PLZ",
            "address_2": "SUITE C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719135529",
            "telephone_number": "501-525-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLERY",
        "first_name": "JODI",
        "middle_name": "CARNAHAN",
        "name_prefix": "Ms.",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "AR",
            "license": "RCP-3581",
            "primary": false
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": "AR",
            "license": "RCP-3581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.