Active NPI
Sam Bass Fire Department
- Basic Emergency Medical Technician
- Round Rock, TX
National Provider Identifier
1760633101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 245017
- Legal business name
- SAM BASS FIRE DEPARTMENT
- Practice address
- 16284 Great Oaks Dr
Round Rock, TX 78681 - Phone
- (512) 255-0100
- NPI assigned
- Oct 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen P Laake
- Title
- Representative
- Phone
- (281) 397-0397
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 245017 | TX | Primary |
Addresses
Primary practice location
16284 Great Oaks Dr
Round Rock, TX 78681
Mailing address
PO Box 691363
Houston, TX 77269-1363
Phone (281) 397-0397
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222992000000",
"number": "1760633101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 691363",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772691363",
"telephone_number": "281-397-0397",
"fax_number": "281-397-6934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16284 GREAT OAKS DR",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "78681",
"telephone_number": "512-255-0100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM BASS FIRE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-03",
"last_updated": "2008-10-03",
"status": "A",
"authorized_official_last_name": "LAAKE",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "REPRESENTATIVE",
"authorized_official_telephone_number": "281-397-0397"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Basic",
"state": "TX",
"license": "245017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.