Active NPI
James Clark, AEMT
- Intermediate Emergency Medical Technician
- Chesapeake, VA
National Provider Identifier
1831958982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intermediate Emergency Medical Technician
- License
- C202205033
- Practice address
- 105 Ridgewood CT
Chesapeake, VA 23325-2219 - Phone
- (775) 230-6670
- NPI assigned
- Mar 18, 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 |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | C202205033 | VA | Primary |
Addresses
Primary practice location
105 Ridgewood CT
Chesapeake, VA 23325-2219
Mailing address
1855 Chelcie St
Fallon, NV 89406-8263
Phone (775) 230-6670
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
| License | State | Type | Specialty |
|---|---|---|---|
| C202205033 | VA | MD | Intermediate Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1831958982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 CHELCIE ST",
"city": "FALLON",
"state": "NV",
"postal_code": "894068263",
"telephone_number": "775-230-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 RIDGEWOOD CT",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233252219",
"telephone_number": "775-230-6670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "JAMES",
"credential": "AEMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-18",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "VA",
"license": "C202205033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
- City of Chesapeake Ta Chesapeake Community Serv Board
- Monica Elizabeth Claiborne, CSA
- Marla Jo Clancy, PMHNP-BC
- Clarity Therapeutic Strategies LLC
- Elizaveta Valerievna Clark
- Nichelle Brittany Clark, IBCLC
- Olivia Clark, RBT
- Stacy Clark, M. ED
- Stephanie Renae Clark, PT, DPT
- William Patrick Clark Jr., MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.