Active NPI
City of Mt Juliet
- Land Ambulance
- Mount Juliet, TN
National Provider Identifier
1497467922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF MT JULIET
- Practice address
- 115 Clemmons Rd
Mount Juliet, TN 37122-3053 - Phone
- (615) 754-2552
- Fax
- (615) 754-5742
- NPI assigned
- Dec 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carl Eric Newman
- Title
- EMS Chief
- Phone
- (615) 754-2552
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
115 Clemmons Rd
Mount Juliet, TN 37122-3053
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-8413
Other names 1
- Fire Department for the City of Mt. Juliet
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230427002546 | TN | Part B Supplier - Ambulance Service Supplier | 2062877947 | Practice locations: Mount Juliet, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2270184 | Fire Department City of Mt Juliet | Certificate of waiver | Oct 10, 2026 |
National Provider Directory
National Provider DirectoryLocations
115 Clemmons Rd
Mount Juliet, TN 37122
Phone (615) 754-2552
1726 N Mount Juliet Rd
Mount Juliet, TN 37122
Phone (615) 754-2552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705449600000",
"number": "1497467922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9150",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420029150",
"telephone_number": "270-744-8413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CLEMMONS RD",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371223053",
"telephone_number": "615-754-2552",
"fax_number": "615-754-5742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MT JULIET",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-15",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A",
"authorized_official_last_name": "NEWMAN",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "ERIC",
"authorized_official_title_or_position": "EMS CHIEF",
"authorized_official_telephone_number": "615-754-2552",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fire Department for the City of Mt. Juliet",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Fire Department for the City of Mt. Juliet",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.