Active NPI
Amy Marie Dodge, AEMT
- Intermediate Emergency Medical Technician
- Yerington, NV
National Provider Identifier
1053800367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intermediate Emergency Medical Technician
- License
- 73343
- Practice address
- 213 S Whitacre St
Yerington, NV 89447-2561 - Phone
- (775) 463-2301
- NPI assigned
- May 2, 2018
- Last updated
- May 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | 73343 | NV | Primary |
Addresses
Primary practice location
213 S Whitacre St
Yerington, NV 89447-2561
Mailing address
213 S Whitacre St
Yerington, NV 89447-2561
Phone (775) 463-2301
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 |
|---|---|---|---|
| 73343 | NV | MD | Intermediate Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1053800367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S WHITACRE ST",
"city": "YERINGTON",
"state": "NV",
"postal_code": "894472561",
"telephone_number": "775-463-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 S WHITACRE ST",
"city": "YERINGTON",
"state": "NV",
"postal_code": "894472561",
"telephone_number": "775-463-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODGE",
"first_name": "AMY",
"middle_name": "MARIE",
"credential": "AEMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "NV",
"license": "73343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yerington, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.