Active NPI
Brian Henricksen, PARAMEDIC
- Paramedic
- Napa, CA
National Provider Identifier
1013308014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- P19553
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| P19553 | CA | MD | Paramedic |
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.