Paul Vincent Herren

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

12A39B Issued in AZ

Practice address

2543 Citrus LN
Lake Havasu City, AZ 86403-4902

Phone

(928) 412-3847

NPI assigned

Nov 21, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1225674609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 CITRUS LN",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864034902",
            "telephone_number": "480-205-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2543 CITRUS LN",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864034902",
            "telephone_number": "928-412-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERREN",
        "first_name": "PAUL",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-21",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "AZ",
            "license": "CNM8581",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "12A39B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernice Heinrich, RN
• Heiser Construction and Development Corp
• Mark Alan Heiser, HIS
• Natalie B Hennek, RN
• Heritage Bridge
• Stephanie Louise Herrick, FNP
• Gwen L Hodrick, LPC
• Andrea Martha Hoff, P.A.-C
• Julie Hofman, PTA
• Ami Leah Hollis, RN, CLT

• Non-emergency Medical Transport (VAN) in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.