Curtis Kenton Southern Jr.

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

267854106619 Issued in WY

Practice address

7 Canyon Lake Dr
Cody, WY 82414-7890

Phone

(706) 330-4538

NPI assigned

Dec 30, 2022

Last updated

Dec 30, 2022By the provider in NPPES

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": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1275246761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CANYON LAKE DR",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824147890",
            "telephone_number": "706-330-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CANYON LAKE DR",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824147890",
            "telephone_number": "706-330-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERN",
        "first_name": "CURTIS",
        "middle_name": "KENTON",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "WY",
            "license": "267854106619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred A Snelson
• Megan Victoria Snyder
• Soar Counseling Services Inc.
• Soar Counseling Services, Inc.
• Soar Counseling Services, Inc.
• Courtney Spence, DO
• Debra Raye Spence
• Joshua B. Spinney, LPC
• Spirit Mountain Hospice
• Jocelyn Marie Sporer

• Basic Emergency Medical Technician in Cody, WY
• Providers in Cody, WY by specialty
• Basic Emergency Medical Technician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.