Active NPI
Michael Enrique Mejia, PARAMEDIC
- Paramedic
- Orlando, FL
National Provider Identifier
1265057756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- PMD525206
- Practice address
- 1 Jeff Fuqua Blvd
Orlando, FL 32827-4392 - Phone
- (407) 825-3042
- NPI assigned
- Jun 10, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | EMT535937 | FL | |
| Paramedic | 146L00000X | PMD525206 | FL | Primary |
Addresses
Primary practice location
1 Jeff Fuqua Blvd
Orlando, FL 32827-4392
Mailing address
921 Lake Lindley Dr N
Deland, FL 32724-4103
Phone (407) 304-6077
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 |
|---|---|---|---|
| PMD525206 | FL | MD | Paramedic |
| EMT535937 | FL | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1265057756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 LAKE LINDLEY DR N",
"city": "DELAND",
"state": "FL",
"postal_code": "327244103",
"telephone_number": "407-304-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JEFF FUQUA BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328274392",
"telephone_number": "407-825-3042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "MICHAEL",
"middle_name": "ENRIQUE",
"credential": "PARAMEDIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "FL",
"license": "EMT535937",
"primary": false
},
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "FL",
"license": "PMD525206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.