Individual provider Active NPI

Vera Mitchell Ware, RRT

  • Home Health Registered Respiratory Therapist
  • Shreveport, LA
National Provider Identifier
1841501467
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered Respiratory TherapistTaxonomy code 2279H0200X
License
LT3525 Issued in LA
Practice address
9591 Wallace Lake Rd
Shreveport, LA 71106-7535
Phone
(318) 687-8813
Fax
(318) 687-8813
NPI assigned
Jun 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Respiratory Therapist 2279H0200X LT3525 LA Primary
Pulmonary Rehabilitation Registered Respiratory Therapist 2279P1005X LT3525 LA

Addresses

Primary practice location

9591 Wallace Lake Rd
Shreveport, LA 71106-7535

Mailing address

9591 Wallace Lake Rd
Shreveport, LA 71106-7535
Phone (318) 687-8813

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
LT3525LAMDHome Health Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Respiratory and DME LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1841501467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9591 WALLACE LAKE RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067535",
            "telephone_number": "318-687-8813",
            "fax_number": "318-687-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9591 WALLACE LAKE RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067535",
            "telephone_number": "318-687-8813",
            "fax_number": "318-687-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "VERA",
        "middle_name": "MITCHELL",
        "name_prefix": "Mrs.",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": "LA",
            "license": "LT3525",
            "primary": true
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": "LA",
            "license": "LT3525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.