Active NPI
Thomas Charles Ehmann
- Respite Care
- Phoenix, AZ
National Provider Identifier
1669299715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Practice address
- 12440 N 20TH St Apt 206
Phoenix, AZ 85022-5888 - Phone
- (602) 369-7444
- NPI assigned
- Sep 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Taxi | 344600000X | B11092322 | AZ | |
| Child Physical Disabilities Respite Care | 385HR2065X | |||
| Private Vehicle | 347C00000X | B11092322 | AZ | |
| Child Mental Illness Respite Care | 385HR2055X | |||
| Respite Care | 385H00000X | Primary |
Addresses
Primary practice location
12440 N 20TH St Apt 206
Phoenix, AZ 85022-5888
Mailing address
12440 N 20TH St Apt 206
Phoenix, AZ 85022-5888
Phone (602) 369-7444
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 |
|---|---|---|---|
| B11092322 | AZ | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1669299715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12440 N 20TH ST APT 206",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850225888",
"telephone_number": "602-369-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12440 N 20TH ST APT 206",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850225888",
"telephone_number": "602-369-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHMANN",
"first_name": "THOMAS",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-20",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "AZ",
"license": "B11092322",
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "AZ",
"license": "B11092322",
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.