Individual provider Active NPI

Scott Kalis, MSHS, NRP

  • Paramedic
  • Norfolk, VA
National Provider Identifier
1336739010
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
E031981004 Issued in VA
Practice address
United States Navy
1510 Gilbert St
Norfolk, VA 23511
Phone
(757) 435-1756
NPI assigned
Jan 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X E031981004 VA Primary

Addresses

Primary practice location

United States Navy
1510 Gilbert St
Norfolk, VA 23511

Mailing address

2245 Kindling Hollow Rd
Virginia Beach, VA 23456-3849
Phone (757) 418-1472

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
E031981004VAMDParamedic

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1336739010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 KINDLING HOLLOW RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563849",
            "telephone_number": "757-418-1472",
            "fax_number": "757-430-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNITED STATES NAVY",
            "address_2": "1510 GILBERT ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23511",
            "telephone_number": "757-435-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIS",
        "first_name": "SCOTT",
        "credential": "MSHS, NRP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "VA",
            "license": "E031981004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.