Individual provider Active NPI

Tavita Saelua

  • Paramedic
  • Fort Bragg, NC
National Provider Identifier
1396938908
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
Practice address
3004 Ardennes Street
SWMG(a), USA Jfkswcs, Stop a
Fort Bragg, NC 28314
Phone
(910) 396-7775
NPI assigned
Aug 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X Primary

Addresses

Primary practice location

3004 Ardennes Street
SWMG(a), USA Jfkswcs, Stop a
Fort Bragg, NC 28314

Mailing address

3004 Ardennes St
Fort Bragg, NC 28310-9633

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": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1396938908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 ARDENNES ST",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283109633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 ARDENNES STREET",
            "address_2": "SWMG(A), USA JFKSWCS, STOP A",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "28314",
            "telephone_number": "910-396-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAELUA",
        "first_name": "TAVITA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.