Active NPI
Nelson Wyche Webb III, PARAMEDIC
- Intermediate Emergency Medical Technician
- Troy, MI
National Provider Identifier
1073121679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intermediate Emergency Medical Technician
- Practice address
- 4901 Big Oak Trail Dr
Troy, MI 48098-4152 - Phone
- (248) 425-1918
- NPI assigned
- Jul 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | A038916 | MI | |
| Intermediate Emergency Medical Technician | 146M00000X | Primary |
Addresses
Primary practice location
4901 Big Oak Trail Dr
Troy, MI 48098-4152
Mailing address
4901 Big Oak Trail Dr
Troy, MI 48098-4152
Phone (248) 425-1918
Other practice location 1
1410 S Telegraph Rd
Bloomfield Hills, MI 48302-0046
Phone (248) 456-8150
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 |
|---|---|---|---|
| A038916 | MI | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1073121679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 BIG OAK TRAIL DR",
"city": "TROY",
"state": "MI",
"postal_code": "480984152",
"telephone_number": "248-425-1918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 BIG OAK TRAIL DR",
"city": "TROY",
"state": "MI",
"postal_code": "480984152",
"telephone_number": "248-425-1918"
}
],
"practiceLocations": [
{
"address_1": "1410 S Telegraph Rd",
"address_purpose": "LOCATION",
"city": "Bloomfield Hills",
"state": "MI",
"postal_code": "483020046",
"country_code": "US",
"telephone_number": "248-456-8150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBB",
"first_name": "NELSON",
"middle_name": "WYCHE",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PARAMEDIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-20",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "MI",
"license": "A038916",
"primary": false
},
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.