Francis Thomas Zakrajsek, EMT-B, FF

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

91-59005 Issued in IN

Practice address

7758 N 800 E
Monticello, IN 47960-7452

Phone

(574) 870-0669

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1790787026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 RUBBLE WAY",
            "address_2": "APT A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479095473",
            "telephone_number": "574-870-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7758 N 800 E",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479607452",
            "telephone_number": "574-870-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKRAJSEK",
        "first_name": "FRANCIS",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "EMT-B, FF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "IN",
            "license": "91-59005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMATEUR RADIO LICENSE",
            "identifier": "KD4NEK",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIREFIGHTER, BASIC",
            "identifier": "61508",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Basic Emergency Medical Technician in Monticello, IN
• Providers in Monticello, IN by specialty
• Basic Emergency Medical Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.