Individual provider Active NPI

Jason Amich, DHSC, NRP, MBA

  • Paramedic
  • Carmel, IN
National Provider Identifier
1528614161
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
1171-1970 Issued in IN
Practice address
3965 W 106TH St Ste 140
Carmel, IN 46032-7781
Phone
(800) 538-5513
NPI assigned
Aug 9, 2019
Last updated
May 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 1171-1970 IN Primary
Health Educator 174H00000X

Addresses

Primary practice location

3965 W 106TH St Ste 140
Carmel, IN 46032-7781

Mailing address

3965 W 106TH St Ste 140
Carmel, IN 46032-7781
Phone (800) 538-5513

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL DrChrono.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
1171-1970INMDParamedic

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1528614161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 W 106TH ST STE 140",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327781",
            "telephone_number": "800-538-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 W 106TH ST STE 140",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327781",
            "telephone_number": "800-538-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMICH",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DHSC, NRP, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-09",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "IN",
            "license": "1171-1970",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DrChrono.com",
            "affiliation": "N",
            "address_1": "3965 W 106th St Ste 140",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460327781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.