Active NPI
Nicholas Owens
- Driver
- North Prince George, VA
National Provider Identifier
1396217303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 4111 Robert E Lee Dr
North Prince George, VA 23860-7529 - Phone
- (804) 439-1264
- NPI assigned
- Jan 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | |||
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
4111 Robert E Lee Dr
North Prince George, VA 23860-7529
Mailing address
4111 Robert E Lee Dr
North Prince George, VA 23860-7529
Phone (804) 439-1264
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1396217303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 ROBERT E LEE DR",
"city": "NORTH PRINCE GEORGE",
"state": "VA",
"postal_code": "238607529",
"telephone_number": "804-439-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 ROBERT E LEE DR",
"city": "NORTH PRINCE GEORGE",
"state": "VA",
"postal_code": "238607529",
"telephone_number": "804-439-1264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "NICHOLAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-02",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Prince George, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.