Active NPI
Phoenix Paramedic Solutions, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Lafayette, IN
National Provider Identifier
1346953965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nate@phoenixparamedics.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Phoenix Paramedic Solutions
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Lafayette, IN
- NPI 1184273450
-
dba Prompt Ambulance Central
- Land Ambulance
- Lafayette, IN
- NPI 1710492939
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lafayette, IN
- NPI 1912766197
Locations
3554 Promenade Pkwy
Lafayette, IN 47909
Phone (765) 490-5164
Interoperability endpoints
- 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.