Active NPI
Daniel Walter Lavin
- Basic Emergency Medical Technician
- Northfield, VT
National Provider Identifier
1902564800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 105501
- Practice address
- 31 Dog River Drive
Northfield, VT 05663 - Phone
- (802) 485-8550
- NPI assigned
- Dec 8, 2021
- Last updated
- Dec 8, 2021
- 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 |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 105501 | VT | Primary |
Addresses
Primary practice location
31 Dog River Drive
Northfield, VT 05663
Mailing address
85 Edgebrook Rd
Framingham, MA 01701-3813
Phone (508) 788-5567
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.northfield-vt.gov/ambulance-department | Direct |
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 |
|---|---|---|---|
| 105501 | VT | MD | Basic Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town of Northfield | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1902564800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 EDGEBROOK RD",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017013813",
"telephone_number": "508-788-5567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 DOG RIVER DRIVE",
"city": "NORTHFIELD",
"state": "VT",
"postal_code": "05663",
"telephone_number": "802-485-8550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVIN",
"first_name": "DANIEL",
"middle_name": "WALTER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-08",
"last_updated": "2021-12-08",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "VT",
"license": "105501",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.northfield-vt.gov/ambulance-department",
"affiliation": "N",
"endpointDescription": "NAS homepage",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "31 Dog River Drive",
"city": "Northfield",
"state": "VT",
"country_code": "US",
"postal_code": "05663",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Northfield, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.