Individual provider Active NPI

Thomas Edward Snowball Sr., EMT-BASIC

  • Basic Emergency Medical Technician
  • Macy, NE
National Provider Identifier
1033430905
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
17965 Issued in NE
Practice address
100 Indian Hills Drive
Omaha Tribal Rescue 100 Indian Hills Drive
Macy, NE 68039-0250
Phone
(402) 837-5381
Fax
(402) 837-5303
NPI assigned
Jun 15, 2010
Last updated
Jun 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 17965 NE Primary

Addresses

Primary practice location

100 Indian Hills Drive
Omaha Tribal Rescue 100 Indian Hills Drive
Macy, NE 68039-0250

Mailing address

P.O. Box 772
504 Hochunk Plaza #3
Winnebago, NE 68071
Phone (712) 204-4717

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

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1033430905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 772",
            "address_2": "504 HOCHUNK PLAZA #3",
            "city": "WINNEBAGO",
            "state": "NE",
            "postal_code": "68071",
            "telephone_number": "712-204-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INDIAN HILLS DRIVE",
            "address_2": "OMAHA TRIBAL RESCUE 100 INDIAN HILLS DRIVE",
            "city": "MACY",
            "state": "NE",
            "postal_code": "680390250",
            "telephone_number": "402-837-5381",
            "fax_number": "402-837-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOWBALL",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "EMT-BASIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NE",
            "license": "17965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macy, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.