JESSIE RAYLENE PRUITT (NPI# 1144515123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144515123 |
| Entity Type | Individual |
| Full Name | JESSIE RAYLENE PRUITT |
| Credential | CRT RCP |
| Practice Address |
6652 Canyon Dr #3 Amarillo TX 79109-7011 |
| Practice Telephone | 8063220941 |
| Practice Fax Number | 8063220942 |
| Mailing Telephone | 8063220941 |
| Mailing Fax Number | 8063220942 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2278H0200X |
Respiratory Therapist, Certified Specialization: Home Health |
59508 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6652 CANYON DR #3 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79109-7011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455098 | Pamela Dawn George | Counselor | 3807 S. Virginia, Amarillo, TX 79109 | 2019-12-23 |
| 1083251318 | Raeann Mask | Massage Therapist | 3501 W. 45th St, Suite T, Amarillo, TX 79109 | 2019-12-05 |
| 1962044941 | Donna Raef Kizziar | Nurse Practitioner | Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 | 2019-10-11 |
| 1730734971 | Suzanne Marie Needham | Speech-Language Pathologist | 49112 Matador, Amarillo, TX 79109 | 2019-08-05 |
| 1477108686 | Danielle Denee' Coleman | Pharmacy Technician | 5807 Sw 45th Ave, Ste 100, Amarillo, TX 79109 | 2019-08-05 |
| 1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
| 1598266439 | Catherine Cheyenne Wills | Behavior Technician | 6031 Bell Street, Amarillo, TX 79109 | 2018-02-26 |
| 1053828038 | Anisa Ann Rodriguez-espinoza | Behavior Technician | 6031 Bell, Amarillo, TX 79109 | 2017-12-29 |
| 1336656313 | Johnny Thomas Johansen | Behavior Technician | 6031 Bell St., Amarillo, TX 79109 | 2017-12-29 |
| 1821535683 | Daniel & Max, LLC | Optometrist | 3501 West I-40, Suite A, Amarillo, TX 79109 | 2017-01-31 |
| Find all providers in zip 79109 | ||||
| Taxonomy Code | 2278H0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Certified |
| Specialization | Home Health |
| Home care fosters individual responsibility for self-management of chronic respiratory conditions. It includes individualized assessment based plans of care service developed to promote safe, proper, and sustained use of prescribed respiratory therapy medications, equipment, and techniques in the home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084984 | Felix Earl Labome | Respiratory Therapist, Certified | 7447 N Wayside Dr Apt 3306, Houston, TX 77028-3268 | 2020-08-18 |
| 1306329131 | Shannon R Tharp | Respiratory Therapist, Certified | 8309 Flythe Mill Rd, Fort Worth, TX 76120-2021 | 2018-09-07 |
| 1568750685 | Dfw | Respiratory Therapist, Certified | 2447 E Stone Rd, Wylie, TX 75098-5709 | 2011-07-11 |
| 1104113992 | Maria Eugenia Riestra-cruz | Respiratory Therapist, Certified | 4335 Misty Springs Dr, San Antonio, TX 78244-1206 | 2011-06-30 |
| 1639305261 | Lewis Wesley Roberts | Respiratory Therapist, Certified | 8001 S Us Hwy 75, Sherman, TX 75090-5707 | 2009-06-10 |
| 1790951929 | Teresa Ann Wollo | Respiratory Therapist, Certified | 5925 Maple Ave, 150, Dallas, TX 75235-6515 | 2008-05-07 |
| 1114116332 | Alma Gonzales | Respiratory Therapist, Certified | 9299 Kirby Dr, Houston, TX 77054-2520 | 2007-10-24 |
| 1609885169 | Allan Keeton | Respiratory Therapist, Certified | 7324 Sw Freeway, Suite 465, Houston, TX 77074-2024 | 2006-08-05 |
| 1679861793 | Lapp | Respiratory Therapist, Certified | 2447 E Stone Rd, Wylie, TX 75098-5709 | 2011-07-11 |
| 1710287834 | Geneva Honzell | Respiratory Therapist, Certified | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2010-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.