Jason Stewart Haller, EMT-B

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

E1726952 Issued in TX

Practice address

BLD 301 Andrews Ave
Lyster Army Health Clinic
Ft. Rucker, AL 36362-5333

Phone

(334) 255-7636

Fax

(334) 255-7368

NPI assigned

Aug 29, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1649604349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLD 301 ANDREWS AVE",
            "address_2": "LYSTER ARMY HEALTH CLINIC",
            "city": "FT. RUCKER",
            "state": "AL",
            "postal_code": "363625333",
            "telephone_number": "334-255-7636",
            "fax_number": "334-255-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLD 301 ANDREWS AVE",
            "address_2": "LYSTER ARMY HEALTH CLINIC",
            "city": "FT. RUCKER",
            "state": "AL",
            "postal_code": "363625333",
            "telephone_number": "334-255-7636",
            "fax_number": "334-255-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "JASON",
        "middle_name": "STEWART",
        "name_prefix": "Mr.",
        "credential": "EMT-B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "TX",
            "license": "E1726952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelsey Alpeter Hamilton, AUD
• Nathan Daniel Hanson, EMT-B
• Cissy Pugh Harcus, LPN
• Benny Frank Harrell, CRNP

• Basic Emergency Medical Technician in Ft. Rucker, AL
• Providers in Ft. Rucker, AL by specialty
• Basic Emergency Medical Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.