Evan Jackson Frost, EMT-B

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

1016380 Issued in MN

Practice address

2052 Galisteo St
Santa Fe, NM 87505-2100

Phone

(505) 819-3419

NPI assigned

Feb 9, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1265139331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 BISHOPS LODGE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011131",
            "telephone_number": "505-819-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 GALISTEO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052100",
            "telephone_number": "505-819-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "EVAN",
        "middle_name": "JACKSON",
        "credential": "EMT-B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MN",
            "license": "1016380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Friend
• Kelly Frith, DOM, L.AC.
• Mackenzie Lyn Fritz, CF-SLP
• Hillary Froehlich-Gerke, PMHNP
• Frontier Health Consultants LTD
• William Douglas Frost, PH.D.
• Tiffany Fuerte, LMHC
• Full Circle Healing Family Practice, LLC
• Full Well Acupuncture LLC
• Benjamin A Fuller

• Basic Emergency Medical Technician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Basic Emergency Medical Technician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.