Active NPI
Galena M. Davis, CRT
- Certified Respiratory Therapist
- Fort Defiance, AZ
National Provider Identifier
1861819252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- Practice address
- 219A Slick Rock CT
Fort Defiance, AZ 86504 - Phone
- (928) 730-8133
- NPI assigned
- Mar 24, 2014
- Last updated
- Feb 15, 2024
- 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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | NU | Primary |
Addresses
Primary practice location
219A Slick Rock CT
Fort Defiance, AZ 86504
Mailing address
PO Box 2753
Fort Defiance, AZ 86504-2753
Other practice location 1
Corner of Routes N12 & N7
Fort Defiance, AZ 86504
Phone (928) 729-8000
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1861819252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2753",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865042753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219A SLICK ROCK CT",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "86504",
"telephone_number": "928-730-8133"
}
],
"practiceLocations": [
{
"address_1": "Corner of Routes N12 & N7",
"address_purpose": "LOCATION",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "86504",
"country_code": "US",
"telephone_number": "928-729-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "GALENA",
"middle_name": "M.",
"credential": "CRT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-24",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.