Individual provider Active NPI

Brian Henricksen, PARAMEDIC

  • Paramedic
  • Napa, CA
National Provider Identifier
1013308014
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
P19553 Issued in CA
Practice address
2741 Napa Valley Corporate Dr
Building #2
Napa, CA 94558-6216
Phone
(925) 550-1925
NPI assigned
Feb 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X P19553 CA Primary

Addresses

Primary practice location

2741 Napa Valley Corporate Dr
Building #2
Napa, CA 94558-6216

Mailing address

950 Outrigger Cir
Brentwood, CA 94513-5440
Phone (925) 550-1925

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
P19553CAMDParamedic

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1013308014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 OUTRIGGER CIR",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135440",
            "telephone_number": "925-550-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 NAPA VALLEY CORPORATE DR",
            "address_2": "BUILDING #2",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586216",
            "telephone_number": "925-550-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICKSEN",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "PARAMEDIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "CA",
            "license": "P19553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.