Individual provider Active NPI

Daniel Walter Lavin

  • Basic Emergency Medical Technician
  • Northfield, VT
National Provider Identifier
1902564800
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
105501 Issued in VT
Practice address
31 Dog River Drive
Northfield, VT 05663
Phone
(802) 485-8550
NPI assigned
Dec 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Other identifiers 1

IdentifierTypeStateIssuer
105501MedicaidVT

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
105501VTMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Town of Northfield PastSince Dec 12, 2021 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 and National Provider Directory roles.

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105501",
            "state": "VT"
        }
    ],
    "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.

Verify at the official NPI Registry.