Individual provider Active NPI

Kristofer John Meals, NREMT

  • Paramedic
  • Fort Rucker, AL
National Provider Identifier
1326553397
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
M8017105 Issued in NC
Practice address
Lyster Army Health Clinic
Building 301 Andrews Ave
Fort Rucker, AL 36362-5333
Phone
(334) 255-7409
NPI assigned
Dec 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X P018898 NC
Paramedic 146L00000X M8017105 NC Primary

Addresses

Primary practice location

Lyster Army Health Clinic
Building 301 Andrews Ave
Fort Rucker, AL 36362-5333

Mailing address

Lyster Army Health Clinic
Building 301 Andrews Ave
Fort Rucker, AL 36362-5333
Phone (334) 255-7409

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

State licenses

LicenseStateTypeSpecialty
M8017105NCMDParamedic
P018898NCMDParamedic

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1326553397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LYSTER ARMY HEALTH CLINIC",
            "address_2": "BUILDING 301 ANDREWS AVE",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "363625333",
            "telephone_number": "334-255-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LYSTER ARMY HEALTH CLINIC",
            "address_2": "BUILDING 301 ANDREWS AVE",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "363625333",
            "telephone_number": "334-255-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEALS",
        "first_name": "KRISTOFER",
        "middle_name": "JOHN",
        "credential": "NREMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "NC",
            "license": "P018898",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "NC",
            "license": "M8017105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Rucker, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.