Active NPI
Kevin M Wolf, ATC
- Basic Emergency Medical Technician
- Mt. Juliet, TN
National Provider Identifier
1568425213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 0000018433
- Practice address
- 5002 Crossing Circle
Mt. Juliet, TN 37122 - Phone
- (615) 553-5000
- Fax
- (615) 553-5001
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 0000018433 | TN | Primary |
| Athletic Trainer | 2255A2300X | 0000000116 | TN |
Addresses
Primary practice location
5002 Crossing Circle
Mt. Juliet, TN 37122
Mailing address
1527 Shagbark TRL
Murfreesboro, TN 37130-1133
Phone (615) 848-0275
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000018433 | TN | MD | Basic Emergency Medical Technician |
| 0000000116 | TN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1568425213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1527 SHAGBARK TRL",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371301133",
"telephone_number": "615-848-0275",
"fax_number": "615-553-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5002 CROSSING CIRCLE",
"city": "MT. JULIET",
"state": "TN",
"postal_code": "37122",
"telephone_number": "615-553-5000",
"fax_number": "615-553-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "KEVIN",
"middle_name": "M",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "TN",
"license": "0000018433",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "0000000116",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt. Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.