Active NPI
Tabitha Vega, EMT
- Basic Emergency Medical Technician
- Yuma, AZ
National Provider Identifier
1417604737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- E034360
- Practice address
- 814 South Eleanor Ave
Yuma, AZ 85364 - Phone
- (470) 363-9765
- NPI assigned
- Mar 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | E034360 | GA | Primary |
Addresses
Primary practice location
814 South Eleanor Ave
Yuma, AZ 85364
Mailing address
814 South Eleanor Ave
Yuma, AZ 85364
Phone (470) 363-9765
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 |
|---|---|---|---|
| E034360 | GA | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1417604737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 SOUTH ELEANOR AVE",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "470-363-9765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 SOUTH ELEANOR AVE",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "470-363-9765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "TABITHA",
"credential": "EMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-07",
"last_updated": "2022-03-07",
"certification_date": "2022-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "GA",
"license": "E034360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.