Individual provider Active NPI

Rodney Demetrius Yerger, CRT

  • General Care Certified Respiratory Therapist
  • Las Vegas, NV
National Provider Identifier
1881873636
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Care Certified Respiratory TherapistTaxonomy code 2278G1100X
License
RC589 Issued in NV
Practice address
2701 N Tenaya Way Ste 290
Las Vegas, NV 89128-1406
Phone
(702) 869-4401
Fax
(702) 869-9904
NPI assigned
Oct 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Certified Respiratory Therapist 2278G1100X RC589 NV Primary

Addresses

Primary practice location

2701 N Tenaya Way Ste 290
Las Vegas, NV 89128-1406

Mailing address

2701 N Tenaya Way Ste 290
Las Vegas, NV 89128-1406
Phone (702) 869-4401

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
RC589NVMDGeneral Care Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1881873636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N TENAYA WAY STE 290",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281406",
            "telephone_number": "702-869-4401",
            "fax_number": "702-869-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N TENAYA WAY STE 290",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281406",
            "telephone_number": "702-869-4401",
            "fax_number": "702-869-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERGER",
        "first_name": "RODNEY",
        "middle_name": "DEMETRIUS",
        "name_prefix": "Mr.",
        "credential": "CRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": "NV",
            "license": "RC589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.