Active NPI
Darrell Spears Jr.
- Basic Emergency Medical Technician
- Meriden, CT
National Provider Identifier
1194278796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 001842141
- Practice address
- 23 Laurel HTS
Meriden, CT 06451-5424 - Phone
- (860) 856-1288
- NPI assigned
- Jul 31, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 001842141 | CT | Primary |
Addresses
Primary practice location
23 Laurel HTS
Meriden, CT 06451-5424
Mailing address
23 Laurel HTS
Meriden, CT 06451-5424
Phone (860) 856-1288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001842141 | Other | CT | 600 890 |
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 |
|---|---|---|---|
| 001842141 | CT | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469923200000",
"number": "1194278796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 LAUREL HTS",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064515424",
"telephone_number": "860-856-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 LAUREL HTS",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064515424",
"telephone_number": "860-856-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARS",
"first_name": "DARRELL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-31",
"last_updated": "2016-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "CT",
"license": "001842141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "600 890",
"identifier": "001842141",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.