Kent Alan Willette, IDMT, NREMT-P

Primary specialty

Military Ambulatory Procedure Visits Operational (Transportable) Clinic/CenterTaxonomy code 261QM1103X

Practice address

101 Parkway PL
Tullahoma, TN 37388-5341

Phone

(931) 454-3537

NPI assigned

Feb 3, 2013

Sex

Male

Sole proprietor

Yes

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

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359849600000",
    "number": "1447599030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PARKWAY PL",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373885341",
            "telephone_number": "931-454-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PARKWAY PL",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373885341",
            "telephone_number": "931-454-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETTE",
        "first_name": "KENT",
        "middle_name": "ALAN",
        "credential": "IDMT, NREMT-P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-03",
        "last_updated": "2013-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1103X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military Ambulatory Procedure Visits Operational (Transportable)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramona Diane Wiedemann
• Amanda Wiedoff, OTD, OTR/L
• Cayla Wilburn, BSW
• Amanda Lynn Wilder
• Wendy Wilkerson
• William M Milam MD PC (Tullahoma Family Medical Center)
• Valerie Nelson Williams
• Cynthia Osborne Williamson
• Jennifer B Wilson, MSW
• Sarah Wilson, MS, CCC-SLP

• Clinic/Center in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2013; 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.