Organization Active NPI

Jollyville Volunteer Fire Dept

  • Paramedic
  • Austin, TX
National Provider Identifier
1457481350
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
800141 Issued in TX
Legal business name
JOLLYVILLE VOLUNTEER FIRE DEPT
Practice address
12507 Mellow Meadow Dr
Austin, TX 78750-1827
Phone
(512) 258-1038
Fax
(512) 258-1837
NPI assigned
Mar 7, 2007
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Karen P Laake
Title
Account Representative
Phone
(281) 397-0397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 800141 TX Primary

Addresses

Primary practice location

12507 Mellow Meadow Dr
Austin, TX 78750-1827

Mailing address

PO Box 691363
Houston, TX 77269-1363
Phone (281) 397-0397

National Provider Directory

National Provider Directory

Locations

12507 Mellow Meadow Dr
Austin, TX 78750
Phone (512) 258-1038

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1457481350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691363",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772691363",
            "telephone_number": "281-397-0397",
            "fax_number": "281-397-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12507 MELLOW MEADOW DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501827",
            "telephone_number": "512-258-1038",
            "fax_number": "512-258-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLLYVILLE VOLUNTEER FIRE DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "LAAKE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ACCOUNT REPRESENTATIVE",
        "authorized_official_telephone_number": "281-397-0397"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "TX",
            "license": "800141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.