Active NPI
James Nelson, FIREFIGHTER/EMT
- Basic Emergency Medical Technician
- Milford, MI
National Provider Identifier
1205659877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 2006373
- Practice address
- 319 Hickory St
Milford, MI 48381-1946 - Phone
- (248) 459-5473
- NPI assigned
- Nov 4, 2024
- 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 | 2006373 | MI | Primary |
Addresses
Primary practice location
319 Hickory St
Milford, MI 48381-1946
Mailing address
319 Hickory St
Milford, MI 48381-1946
Phone (248) 459-5473
Other practice location 1
319 Hickory St
Milford, MI 48381-1946
Phone (248) 459-5473
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
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006373 | MI | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1205659877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 HICKORY ST",
"city": "MILFORD",
"state": "MI",
"postal_code": "483811946",
"telephone_number": "248-459-5473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 HICKORY ST",
"city": "MILFORD",
"state": "MI",
"postal_code": "483811946",
"telephone_number": "248-459-5473"
}
],
"practiceLocations": [
{
"address_1": "319 Hickory St",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "MI",
"postal_code": "483811946",
"country_code": "US",
"telephone_number": "248-459-5473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "JAMES",
"credential": "FIREFIGHTER/EMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "MI",
"license": "2006373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.