Alan Ottarson, NRP

Primary specialty

ParamedicTaxonomy code 146L00000X

License

E122007303 Issued in VA

Practice address

6595 Main St
Gloucester, VA 23061-6103

Phone

(804) 693-2148

NPI assigned

May 27, 2014

Last updated

May 27, 2014By the provider in NPPES

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gloucester Volunteer Fire and Rescue Squad, Inc.

  • Land Ambulance
  • Gloucester, VA
  • NPI 1487489639
  NPD (past)

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1710399761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "WARE NECK",
            "state": "VA",
            "postal_code": "231780112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 MAIN ST",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230616103",
            "telephone_number": "804-693-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTARSON",
        "first_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "NRP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "VA",
            "license": "E122007303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nine Palms 1, LLC (Brookside Home Health, an Amedisys Company)
• Jamie L Norman, L.P.C.
• Dwayne North
• Ordinary Associates PC
• Carol-Jo Osinski, FNP
• Debra Leigh Ottarson, RPH
• Our Life's Journey
• Daisy T Overton, LNP - NURSE PRACT.
• Gerald A Packer, M.D.
• Pamela Minor, LPC, LLC

• Paramedic in Gloucester, VA
• Providers in Gloucester, VA by specialty
• Paramedic in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.