Active NPI
Michael Johnson
- Basic Emergency Medical Technician
- Fort Belvoir, VA
National Provider Identifier
1750110417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- Practice address
- 9900 Belvoir Road
Building 201, Suite 101
Fort Belvoir, VA 22060 - Phone
- (571) 289-1601
- NPI assigned
- Jul 31, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | Primary |
Addresses
Primary practice location
9900 Belvoir Road
Building 201, Suite 101
Fort Belvoir, VA 22060
Mailing address
9900 Belvoir Road
Building 201, Suite 101
Fort Belvoir, VA 22060
Phone (571) 289-1601
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1750110417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 BELVOIR ROAD",
"address_2": "BUILDING 201, SUITE 101",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "22060",
"telephone_number": "571-289-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 BELVOIR ROAD",
"address_2": "BUILDING 201, SUITE 101",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "22060",
"telephone_number": "571-289-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-31",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.