Individual provider Active NPI

Tricia May Lopez Holway, EMT BASIC

  • Basic Emergency Medical Technician
  • Spanaway, WA
National Provider Identifier
1295298362
Registry record updated Apr 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
E3120523 Issued in WA
Practice address
2407 193Rd St E
Spanaway, WA 98387-3418
Phone
(916) 606-4382
NPI assigned
Apr 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X E3120523 WA Primary

Addresses

Primary practice location

2407 193Rd St E
Spanaway, WA 98387-3418

Mailing address

2407 193Rd St E
Spanaway, WA 98387-3418
Phone (916) 606-4382

Other names 1

  • Tricia May Lopez Capistrano Former name

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
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
E3120523WAMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554595200000",
    "number": "1295298362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 193RD ST E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983873418",
            "telephone_number": "916-606-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 193RD ST E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983873418",
            "telephone_number": "916-606-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLWAY",
        "first_name": "TRICIA",
        "middle_name": "MAY LOPEZ",
        "credential": "EMT BASIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-07",
        "last_updated": "2019-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "WA",
            "license": "E3120523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "CAPISTRANO",
            "middle_name": "MAY LOPEZ",
            "credential": "EMT BASIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spanaway, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2019; 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.