Craig Pecue-Drysdale, NREMT-P

Primary specialty

ParamedicTaxonomy code 146L00000X

License

M5113122 Issued in MS

Practice address

2178 Cade LN NW
Brookhaven, MS 39601-8121

Phone

(225) 226-5440

NPI assigned

Nov 28, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674950400000",
    "number": "1467119305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2178 CADE LN NW",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396018121",
            "telephone_number": "225-226-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178 CADE LN NW",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396018121",
            "telephone_number": "225-226-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECUE-DRYSDALE",
        "first_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "NREMT-P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-28",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MS",
            "license": "M5113122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "File",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2178 Cade Ln NW",
            "city": "Brookhaven",
            "state": "MS",
            "country_code": "US",
            "postal_code": "396018121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Paramedic in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Paramedic in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2023; 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.