Individual provider Active NPI

Dajon Worrells, EMT-B

  • Basic Emergency Medical Technician
  • Philadelphia, PA
National Provider Identifier
1598463291
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
0889073 Issued in PA
Practice address
4871 Summerdale Ave Unit 3
Philadelphia, PA 19124-2342
Phone
(267) 760-1599
NPI assigned
Feb 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 0889073 PA Primary

Addresses

Primary practice location

4871 Summerdale Ave Unit 3
Philadelphia, PA 19124-2342

Mailing address

304 W Godfrey Ave
Philadelphia, PA 19120-1410
Phone (484) 862-9394

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

LicenseStateTypeSpecialty
0889073PAMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Care Transport CurrentSince Jul 23, 2023 Accepting new patients

Locations

4871 Summerdale Ave
Unit 3
Philadelphia, PA 19124
Phone (267) 760-1599

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1598463291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W GODFREY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201410",
            "telephone_number": "484-862-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4871 SUMMERDALE AVE UNIT 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242342",
            "telephone_number": "267-760-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORRELLS",
        "first_name": "DAJON",
        "credential": "EMT-B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "PA",
            "license": "0889073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.