Mark Conklin, EMT

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

11233 Issued in NV

Practice address

645 N Arlington Ave
Suite 335
Reno, NV 89503-4460

Phone

(775) 770-6237

Fax

(775) 770-6235

NPI assigned

Apr 19, 2016

Sex

Male

Sole proprietor

Yes

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

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1679927321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 CANARY CIR",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894086512",
            "telephone_number": "775-770-6237",
            "fax_number": "775-980-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE",
            "address_2": "SUITE 335",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034460",
            "telephone_number": "775-770-6237",
            "fax_number": "775-770-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "MARK",
        "credential": "EMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NV",
            "license": "11233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Forsberg Condon, M.D.
• Confidence Medical Health PLLC
• Jordan Edward Conine, PHARMD
• James V Conkey II, OD
• Nancy Conkey, APN
• Thomas R Conklin, MD PC
• Deborah Conley
• Ronald Conley
• Abigail Connell
• Nicolle Conner

• Basic Emergency Medical Technician in Reno, NV
• Providers in Reno, NV by specialty
• Basic Emergency Medical Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.