Jacob Nathan Campbell, EMT

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

7881-8076-2277 Issued in WA

Practice address

34515 9TH Ave S
Federal Way, WA 98003-6799

Phone

(253) 944-4137

NPI assigned

Dec 16, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1366101313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19509 9TH AVE E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878010",
            "telephone_number": "480-848-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34515 9TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036799",
            "telephone_number": "253-944-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JACOB",
        "middle_name": "NATHAN",
        "name_prefix": "Mr.",
        "credential": "EMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "WA",
            "license": "7881-8076-2277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Lynn Calhoun, DDS
• Deborah Ann Call
• Robyn Marie Callahan, MSW, LICSW
• William G Callahan, MD
• Daniel M Campa, PHD, EDS
• Faye Alvarez Campos
• Ariana Canevari, LSWAIC
• Minh-Y Ngoc Canh, D.O.
• Lindsey Canley, LICSWA
• Domingo Sangalang Caparas, MD

• Basic Emergency Medical Technician in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Basic Emergency Medical Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.