Active NPI
Andrew Connor, NREMT
- Basic Emergency Medical Technician
- University Place, WA
National Provider Identifier
1336507664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- EMT.ES.60599608
- Practice address
- 7015 40TH St W
University Place, WA 98466-5012 - Phone
- (253) 565-1184
- NPI assigned
- Feb 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | EMT.ES.60599608 | WA | Primary |
Addresses
Primary practice location
7015 40TH St W
University Place, WA 98466-5012
Mailing address
7015 40TH St W
University Place, WA 98466-5012
Phone (253) 565-1184
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
| License | State | Type | Specialty |
|---|---|---|---|
| EMT.ES.60599608 | WA | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1336507664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7015 40TH ST W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984665012",
"telephone_number": "253-565-1184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7015 40TH ST W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984665012",
"telephone_number": "253-565-1184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "ANDREW",
"credential": "NREMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-01",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "WA",
"license": "EMT.ES.60599608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.