James Christopher Pennington, IDMT/NREMT-P

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

BLDG 1032 Creech Afb
Cafb Medical Aid Station
Indian Springs, NV 89018

Phone

(702) 404-1142

NPI assigned

Apr 23, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1306080296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 CHASTAIN LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891153326",
            "telephone_number": "702-417-3339",
            "fax_number": "702-404-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 1032 CREECH AFB",
            "address_2": "CAFB MEDICAL AID STATION",
            "city": "INDIAN SPRINGS",
            "state": "NV",
            "postal_code": "89018",
            "telephone_number": "702-404-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "JAMES",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "IDMT/NREMT-P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "NV",
            "license": "P8033950",
            "primary": false
        },
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Helping Others Purse Elevation
• Donna Michelle Judd
• Christina Mason, LCSW, CADC
• Jamie Mitchell
• North Star Wellness
• Irma Prettenhofer, MPA
• Candace Lee Roshon
• Kevin Alexander Zambrano Alvarado

• Independent Duty Medical Technicians in Indian Springs, NV
• Providers in Indian Springs, NV by specialty
• Independent Duty Medical Technicians in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.