Individual provider Active NPI

Adler Puckett, AEMT/EMTP

  • Intermediate Emergency Medical Technician
  • Lewisburg, TN
National Provider Identifier
1346186269
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X
License
221292 Issued in TN
Practice address
728 S Ellington Pkwy
Lewisburg, TN 37091-3460
Phone
(931) 359-6391
NPI assigned
Apr 24, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical Technician 146M00000X 221292 TN Primary

Addresses

Primary practice location

728 S Ellington Pkwy
Lewisburg, TN 37091-3460

Mailing address

2806 McCanless Rd
Nolensville, TN 37135-9434
Phone (615) 310-5202

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
221292TNMDIntermediate Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1346186269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 MCCANLESS RD",
            "city": "NOLENSVILLE",
            "state": "TN",
            "postal_code": "371359434",
            "telephone_number": "615-310-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 S ELLINGTON PKWY",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370913460",
            "telephone_number": "931-359-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "ADLER",
        "name_prefix": "Mr.",
        "credential": "AEMT/EMTP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "TN",
            "license": "221292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.