Organization Active NPI

Phoenix Paramedic Solutions, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lafayette, IN
National Provider Identifier
1346953965
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PHOENIX PARAMEDIC SOLUTIONS, LLC
Practice address
3554 Promenade Pkwy
Lafayette, IN 47909-8417
Phone
(765) 637-7161
NPI assigned
Dec 28, 2022
Last updated
Apr 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Nathaniel A Metz
Title
Ceo
Phone
(765) 448-4327

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Peer Specialist 175T00000X

Addresses

Primary practice location

3554 Promenade Pkwy
Lafayette, IN 47909-8417

Mailing address

3535 McCarty LN
Lafayette, IN 47905-4985
Phone (765) 237-4129

Other practice location 1

3535 McCarty Ln
Lafayette, IN 47905-4985
Phone (765) 237-4129

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nate@phoenixparamedics.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Paramedic Solutions4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3554 Promenade Pkwy
Lafayette, IN 47909
Phone (765) 490-5164

Interoperability endpoints

  • Direct secure messaging: nate@phoenixparamedics.com

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1346953965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 MCCARTY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054985",
            "telephone_number": "765-237-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3554 PROMENADE PKWY",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098417",
            "telephone_number": "765-637-7161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 McCarty Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054985",
            "country_code": "US",
            "telephone_number": "765-237-4129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX PARAMEDIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "METZ",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-448-4327"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nate@phoenixparamedics.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "written reports",
            "address_1": "3535 McCarty Ln",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479054985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

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