Benjamin Patrick Tudor, RPHT, AEMT

Primary specialty

Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X

License

2175794276 Issued in KY

Practice address

1873 Honey Spring Place
Lexington, KY 40502

Phone

(859) 533-9481

NPI assigned

Sep 23, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312588800000",
    "number": "1053645085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W WALNUT ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221309",
            "telephone_number": "859-533-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 HONEY SPRING PLACE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40502",
            "telephone_number": "859-533-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDOR",
        "first_name": "BENJAMIN",
        "middle_name": "PATRICK",
        "credential": "RPHT, AEMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-23",
        "last_updated": "2011-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "KY",
            "license": "00019910PT",
            "primary": false
        },
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "KY",
            "license": "2175794276",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Tucker, CSW
• Sabrina Tucker
• Samantha Tucker
• Steven R. Tucker, D.M.D.
• Vanessa Lynn Tucker, APRN
• Erica Tudor
• James Louis Tudor, PHARMD
• Julie L. Tudor, P.A.-C.
• Megan Marie Tudor, APRN
• Natalie Tudor

• Intermediate Emergency Medical Technician in Lexington, KY
• Providers in Lexington, KY by specialty
• Intermediate Emergency Medical Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2011; 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.