Active NPI
Brianson R Yazzie, CRT
- Certified Respiratory Therapist
- Tuba City, AZ
National Provider Identifier
1922122415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 6440
- Practice address
- 167 N Main Street
Tuba City, AZ 86045-3776 - Phone
- (928) 283-2596
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 6440 | AZ | Primary |
Addresses
Primary practice location
167 N Main Street
Tuba City, AZ 86045-3776
Mailing address
PO Box 3776
Tuba City, AZ 86045-3776
Phone (928) 283-6485
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 |
|---|---|---|---|
| 6440 | AZ | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922122415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3776",
"city": "TUBA CITY",
"state": "AZ",
"postal_code": "860453776",
"telephone_number": "928-283-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 N MAIN STREET",
"city": "TUBA CITY",
"state": "AZ",
"postal_code": "860453776",
"telephone_number": "928-283-2596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAZZIE",
"first_name": "BRIANSON",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "CRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "AZ",
"license": "6440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuba City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.