Active NPI
Carol White Eyes, EMT
- Basic Emergency Medical Technician
- Macy, NE
National Provider Identifier
1386853489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 4408
- Practice address
- 100 Indian Hills Drive
Macy, NE 68039 - Phone
- (402) 837-5381
- Fax
- (402) 837-5303
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 4408 | NE | Primary |
Addresses
Primary practice location
100 Indian Hills Drive
Macy, NE 68039
Mailing address
100 Indian Hills Drive
Macy, NE 68039
Phone (402) 837-5381
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
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4408 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386853489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 INDIAN HILLS DRIVE",
"city": "MACY",
"state": "NE",
"postal_code": "68039",
"telephone_number": "402-837-5381",
"fax_number": "402-837-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 INDIAN HILLS DRIVE",
"city": "MACY",
"state": "NE",
"postal_code": "68039",
"telephone_number": "402-837-5381",
"fax_number": "402-837-5303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE EYES",
"first_name": "CAROL",
"credential": "EMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "NE",
"license": "4408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macy, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.