Kristen Hathcock, PHD, NREMT
Individual provider Active NPI Basic Emergency Medical Technician · Ellinwood, KS
NPI 1194336891 · NPPES record last updated Aug 14, 2020
Key facts
- NPI
- 1194336891
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Basic Emergency Medical Technician 146N00000X
- License
- 53003 (KS)
- Practice address
- 1450 SE 50 Rd
Ellinwood, KS 67526-9268 - Phone
- (620) 450-6275
- NPI assigned
- Aug 14, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53003 | KS | MD | Basic Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Visions Consulting Inc | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 53003 | KS | Yes |
Addresses
Primary practice location
1450 SE 50 Rd
Ellinwood, KS 67526-9268
Mailing address
1450 SE 50 Rd
Ellinwood, KS 67526-9268
Phone (620) 450-6275
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72667 | Other | MO | BEMS |
| E3181012 | Other | NREMT | |
| 53003 | Other | KS | KBEMS |
Other providers in Ellinwood, KS
- Great Plains of Ellinwood Inc.
- Great Plains of Ellinwood Inc.
- Great Plains of Ellinwood, Inc.
- Samuel Norman Gross
- Diane E. Haines
- Innovative Visions Consulting Inc
- Amanda Jackson
- Meredith Anna Joiner
- Charlie G Joslin
- Ashley Komarek
All providers in Ellinwood, KS · Basic Emergency Medical Technician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.