Individual provider Active NPI

Daren Edward Smith

  • Basic Emergency Medical Technician
  • Fredericksburg, VA
National Provider Identifier
1194232058
Registry record updated Jan 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
B201400319 Issued in VA
Practice address
6204 Plank Rd
Fredericksburg, VA 22407-6238
Phone
(540) 507-7966
NPI assigned
Jan 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X B201400319 VA
Basic Emergency Medical Technician 146N00000X B201400319 VA Primary

Addresses

Primary practice location

6204 Plank Rd
Fredericksburg, VA 22407-6238

Mailing address

503 Maple Grove Dr
Fredericksburg, VA 22407-8917
Phone (540) 270-5588

Other identifiers 1

IdentifierTypeStateIssuer
B201400319OtherVAVIRGINIA OFFICE OF EMERGENCY MEDICAL SERVICES

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
B201400319VAMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Spotsylvania County Board of Supervisors Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514764800000",
    "number": "1194232058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MAPLE GROVE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078917",
            "telephone_number": "540-270-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076238",
            "telephone_number": "540-507-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAREN",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-01",
        "last_updated": "2018-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "VA",
            "license": "B201400319",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "VA",
            "license": "B201400319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA OFFICE OF EMERGENCY MEDICAL SERVICES",
            "identifier": "B201400319",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.

Verify at the official NPI Registry.