Individual provider Active NPI

Jason P Carlisle, HS, NREMT

  • Basic Emergency Medical Technician
  • Washington, DC
National Provider Identifier
1730215732
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
B121777 Issued in OH
Practice address
2100 2ND St SW
RM 5314
Washington, DC 20593-0002
Phone
(202) 475-5167
NPI assigned
Feb 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 B121777 OH Primary

Addresses

Primary practice location

2100 2ND St SW
RM 5314
Washington, DC 20593-0002

Mailing address

2100 2ND St SW
RM 5314
Washington, DC 20593-0002
Phone (202) 475-5167

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
High School Graduate

State licenses

LicenseStateTypeSpecialty
B121777OHMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730215732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 2ND ST SW",
            "address_2": "RM 5314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930002",
            "telephone_number": "202-475-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 2ND ST SW",
            "address_2": "RM 5314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930002",
            "telephone_number": "202-475-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "JASON",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "HS, NREMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "OH",
            "license": "B121777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.