Individual provider Active NPI

Austin Taccetta, EMT

  • Basic Emergency Medical Technician
  • San Antonio, TX
National Provider Identifier
1689549602
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
795843 Issued in TX
Practice address
4655 Walzem Rd
San Antonio, TX 78218-1610
Phone
(210) 852-0550
NPI assigned
Oct 8, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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 795843 TX Primary

Addresses

Primary practice location

4655 Walzem Rd
San Antonio, TX 78218-1610

Mailing address

2424 Gold Canyon Rd Apt 726
San Antonio, TX 78259-3596
Phone (610) 451-3295

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
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
795843TXMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
TGW Superiorcare MTS LLC PastSince Feb 19, 2023 Accepting new patients
Superior Shuttle LLC PastSince May 22, 2022 Accepting new patients

Organizations & group practices 2

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": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1689549602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 GOLD CANYON RD APT 726",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782593596",
            "telephone_number": "610-451-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 WALZEM RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181610",
            "telephone_number": "210-852-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACCETTA",
        "first_name": "AUSTIN",
        "credential": "EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-08",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "TX",
            "license": "795843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.