Joel Robert Ibeling, AEMT

Primary specialty

Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X

License

300168 Issued in WI

Practice address

3250 Kingsley Way
Madison, WI 53713-4628

Phone

(608) 354-9239

NPI assigned

Sep 28, 2021

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1275205387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ORIOLE LN",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "535239297",
            "telephone_number": "608-512-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 KINGSLEY WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134628",
            "telephone_number": "608-354-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBELING",
        "first_name": "JOEL",
        "middle_name": "ROBERT",
        "credential": "AEMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "WI",
            "license": "300168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intermediate Emergency Medical Technician in Madison, WI
• Providers in Madison, WI by specialty
• Intermediate Emergency Medical Technician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.