Jamie David Clancy, EMT-P, MICT

Primary specialty

ParamedicTaxonomy code 146L00000X

License

15906 Issued in KS

Practice address

176 Rainbow Dr # 7641
Livingston, TX 77399-1076

Phone

(785) 845-6179

NPI assigned

Dec 7, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician - Paramedic

State licenses

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388880000000",
    "number": "1740583137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 RAINBOW DR # 7641",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773991076",
            "telephone_number": "785-845-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 RAINBOW DR # 7641",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773991076",
            "telephone_number": "785-845-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "JAMIE",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "EMT-P, MICT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-07",
        "last_updated": "2014-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "KS",
            "license": "15906",
            "primary": true
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AZ",
            "license": "87252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Cheree Chapman, COTA
• Charlene Smith MD PA
• Amy Cristen Cherry, OTR
• Chiamaka Maryrose Chibundu, M.D.
• Gary Richard Christman, D.D.S.
• Earl E Clark, PAC
• Elizabeth Clark
• Jessie S Clarke, DPT
• Caitlyn Iles Clifton, PHARMD, MSHA
• Climer Counseling, PLLC

• Paramedic in Livingston, TX
• Providers in Livingston, TX by specialty
• Paramedic in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.