Individual provider Active NPI

Siedali Husen

  • Intermediate Emergency Medical Technician
  • Saint Francis, WI
National Provider Identifier
1821895368
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X
License
H2507810038013 Issued in WI
Practice address
3739 S Packard Ave Apt 218
Saint Francis, WI 53235-4325
Phone
(414) 737-3119
NPI assigned
Mar 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical Technician 146M00000X H2507810038013 WI Primary

Addresses

Primary practice location

3739 S Packard Ave Apt 218
Saint Francis, WI 53235-4325

Mailing address

3739 S Packard Ave Apt 218
Saint Francis, WI 53235-4325
Phone (414) 737-3119

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

State licenses

LicenseStateTypeSpecialty
H2507810038013WIMDIntermediate Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1821895368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3739 S PACKARD AVE APT 218",
            "city": "SAINT FRANCIS",
            "state": "WI",
            "postal_code": "532354325",
            "telephone_number": "414-737-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3739 S PACKARD AVE APT 218",
            "city": "SAINT FRANCIS",
            "state": "WI",
            "postal_code": "532354325",
            "telephone_number": "414-737-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSEN",
        "first_name": "SIEDALI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "WI",
            "license": "H2507810038013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Francis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.