Individual provider Active NPI

Luke Edwyn Hayes

  • Intermediate Emergency Medical Technician
  • American Fork, UT
National Provider Identifier
1033959424
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X
License
83947 Issued in NV
Practice address
575 S 600 E Unit 1204
American Fork, UT 84003-4381
Phone
(801) 644-6863
NPI assigned
May 31, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical Technician 146M00000X 2023039312 UT
Intermediate Emergency Medical Technician 146M00000X 83947 NV Primary

Addresses

Primary practice location

575 S 600 E Unit 1204
American Fork, UT 84003-4381

Mailing address

575 S 600 E Unit 1204
American Fork, UT 84003-4381
Phone (801) 644-6863

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
83947NVMDIntermediate Emergency Medical Technician
2023039312UTMDIntermediate Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1033959424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S 600 E UNIT 1204",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840034381",
            "telephone_number": "801-644-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S 600 E UNIT 1204",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840034381",
            "telephone_number": "801-644-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "LUKE",
        "middle_name": "EDWYN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "UT",
            "license": "2023039312",
            "primary": false
        },
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "NV",
            "license": "83947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.