Active NPI
Daren Edward Smith
- Basic Emergency Medical Technician
- Fredericksburg, VA
National Provider Identifier
1194232058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- B201400319
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B201400319 | Other | VA | VIRGINIA 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
| License | State | Type | Specialty |
|---|---|---|---|
| B201400319 | VA | MD | Basic Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Ambulance
- Spotsylvania, VA
- NPI 1306890587
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.