Kenneth W Pete, EMT

Primary specialty

Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X

License

09702 Issued in NV

Practice address

1623 Hospital Road
Owyhee, NV 89832-0130

Phone

(775) 757-2415

Fax

(775) 757-2041

NPI assigned

Oct 25, 2012

Last updated

Oct 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1386997500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 HOSPITAL ROAD",
            "city": "OWYHEE",
            "state": "NV",
            "postal_code": "898320130",
            "telephone_number": "775-757-2415",
            "fax_number": "775-757-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 HOSPITAL ROAD",
            "city": "OWYHEE",
            "state": "NV",
            "postal_code": "898320130",
            "telephone_number": "775-757-2415",
            "fax_number": "775-757-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETE",
        "first_name": "KENNETH",
        "middle_name": "W",
        "credential": "EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "NV",
            "license": "09702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas Mason
• Deborah J Moreau, FNP
• Nancy June Munger, RN
• Owyhee Community Health Care Facility
• Owyhee Community Health Facility
• Steven M Polatis, O.D.
• Kelly Kathleen Rhodes, M.D.
• Shayanne Rose, EMT
• Elizabeth Sam, REGISTERED NURSE
• Ethelyn Jane Shaw, EMT

• Intermediate Emergency Medical Technician in Owyhee, NV
• Providers in Owyhee, NV by specialty
• Intermediate Emergency Medical Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.