Active NPI
Alice R Tetzke Allred, E.M.T.
- Basic Emergency Medical Technician
- Gilbert, AZ
National Provider Identifier
1801146345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 44635
- Practice address
- 55 N Greenfield Rd
Gilbert, AZ 85234-6220 - Phone
- (480) 497-4034
- Fax
- (480) 507-1624
- NPI assigned
- Sep 12, 2012
- Last updated
- Sep 12, 2012
- Sex
- Female
- 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 | 44635 | AZ | Primary |
Addresses
Primary practice location
55 N Greenfield Rd
Gilbert, AZ 85234-6220
Mailing address
140 S Gilbert Rd
Gilbert, AZ 85296-1016
Phone (480) 497-4034
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
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44635 | AZ | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1801146345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 S GILBERT RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961016",
"telephone_number": "480-497-4034",
"fax_number": "480-507-1645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 N GREENFIELD RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852346220",
"telephone_number": "480-497-4034",
"fax_number": "480-507-1624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED",
"first_name": "ALICE",
"middle_name": "R TETZKE",
"credential": "E.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "AZ",
"license": "44635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.