Organization Active NPI

City of Mt Juliet

  • Land Ambulance
  • Mount Juliet, TN
National Provider Identifier
1497467922
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Jan 17, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230427002546 TN Part B Supplier - Ambulance Service Supplier 2062877947 Practice locations: Mount Juliet, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2270184Fire Department City of Mt Juliet115 Clemmons Road, Mount Juliet, TN 37122Certificate of waiverOct 10, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.