Lakeway Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS0000009979 Issued in TN

Legal business name

LAKEWAY AMBULANCE SERVICE

Practice address

1101 Arden LN
Morristown, TN 37813-2701

Phone

(423) 585-0911

Fax

(423) 586-8658

NPI assigned

Feb 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Jarnagin

Title

Director Owner

Phone

(423) 585-0911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699817510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378770460",
            "telephone_number": "423-585-0911",
            "fax_number": "423-586-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ARDEN LN",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132701",
            "telephone_number": "423-585-0911",
            "fax_number": "423-586-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWAY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JARNAGIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "423-585-0911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "EMS0000009979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosanne Marie Ladue, 163W00000X
• Hannah Christine Lafferty, DPT
• Kimberly Lafferty
• Colleen Michelle Clark Laing, NP-C
• Lakeway Achievement Center
• Lakeway Dermatology Associates PC
• Lakeway Dermatology Associates, PC
• Lakeway Emergency Physicians, LLC
• Lakeway Regional Anesthesia Services
• Heather Renae-Cobb Laliberte

• Land Ambulance in Morristown, TN
• Providers in Morristown, TN by specialty
• Land Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.