Active NPI
James Harold Dougal, RN
- Basic Emergency Medical Technician
- Fort Wayne, IN
National Provider Identifier
1437263860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 0242619
- Practice address
- 3840 New Vision Dr
Fort Wayne, IN 46845-1708 - Phone
- (260) 483-2422
- Fax
- (260) 471-0788
- NPI assigned
- Aug 19, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 0242619 | IN | Primary |
| Registered Nurse | 163W00000X | 28068712A | IN |
Addresses
Primary practice location
3840 New Vision Dr
Fort Wayne, IN 46845-1708
Mailing address
9701 Brush College Rd
Woodburn, IN 46797-9770
Phone (260) 657-5663
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0242619 | IN | MD | Basic Emergency Medical Technician |
| 28068712A | IN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1437263860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 BRUSH COLLEGE RD",
"city": "WOODBURN",
"state": "IN",
"postal_code": "467979770",
"telephone_number": "260-657-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 NEW VISION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451708",
"telephone_number": "260-483-2422",
"fax_number": "260-471-0788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGAL",
"first_name": "JAMES",
"middle_name": "HAROLD",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "IN",
"license": "0242619",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28068712A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.