Individual provider Active NPI

Collin Michael Papenfuss, NREMT

  • Basic Emergency Medical Technician
  • Baltimore, MD
National Provider Identifier
1629637152
Registry record updated Jun 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
1851966 Issued in MD
Practice address
5200 Southwestern Blvd
Baltimore, MD 21227-2820
Phone
(410) 887-1477
NPI assigned
Jun 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X B103017909 VA
Basic Emergency Medical Technician 146N00000X 1851966 MD Primary

Addresses

Primary practice location

5200 Southwestern Blvd
Baltimore, MD 21227-2820

Mailing address

11834 Chase Wellesley Dr Apt 533
Henrico, VA 23233-7756
Phone (804) 878-8079

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
1851966MDMDBasic Emergency Medical Technician
B103017909VAMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560038400000",
    "number": "1629637152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11834 CHASE WELLESLEY DR APT 533",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232337756",
            "telephone_number": "804-878-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 SOUTHWESTERN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272820",
            "telephone_number": "410-887-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPENFUSS",
        "first_name": "COLLIN",
        "middle_name": "MICHAEL",
        "credential": "NREMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-09",
        "last_updated": "2019-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "VA",
            "license": "B103017909",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MD",
            "license": "1851966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2019; 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.