Individual provider Active NPI

Robert Townsend, CC-P

  • Paramedic
  • Deltona, FL
National Provider Identifier
1104414507
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
PMD536992 Issued in FL
Practice address
1850 W Cooper Dr
Deltona, FL 32725-3623
Phone
(407) 228-2320
NPI assigned
Jan 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X P000366989 IL
ParamedicGroup: 193400000X SINGLE SPECIALTY GROUP 146L00000X PMD536992 FL Primary

Addresses

Primary practice location

1850 W Cooper Dr
Deltona, FL 32725-3623

Mailing address

1850 W Cooper Dr
Deltona, FL 32725-3623
Phone (407) 228-2320

Other identifiers 2

IdentifierTypeStateIssuer
P000366989OtherILILLINOIS DEPARTMENT OF HEALTH
PMD536992OtherFLFLORIDA DEPARTMENT OF HEALTH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address august.9886a3e1@nicoric.com Direct
Direct Messaging Address august.9886a3e1@nicoric.com Direct

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
PMD536992FLMDParamedic
P000366989ILMDParamedic

NPI Registry JSON

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

{
    "created_epoch": "1609545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1104414507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W COOPER DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327253623",
            "telephone_number": "407-228-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W COOPER DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327253623",
            "telephone_number": "407-228-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "CC-P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-02",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "IL",
            "license": "P000366989",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "FL",
            "license": "PMD536992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF HEALTH",
            "identifier": "P000366989",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "PMD536992",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "august.9886a3e1@nicoric.com",
            "affiliation": "N",
            "endpointDescription": "Alternate email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email address",
            "address_1": "1850 W Cooper Dr",
            "city": "Deltona",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327253623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "august.9886a3e1@nicoric.com",
            "affiliation": "N",
            "endpointDescription": "Alternate email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Alternate email address",
            "address_1": "1850 W Cooper Dr",
            "city": "Deltona",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327253623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; 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.