Kristopher Blake Doyen, EMT-P

Primary specialty

ParamedicTaxonomy code 146L00000X

License

1955089 Issued in MD

Practice address

801 Russell Ave
Gaithersburg, MD 20879-3505

Phone

(954) 557-0147

NPI assigned

Dec 23, 2021

Last updated

Jul 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician - Paramedic

State licenses

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1902566581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DEER PARK CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771606",
            "telephone_number": "954-557-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 RUSSELL AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793505",
            "telephone_number": "954-557-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYEN",
        "first_name": "KRISTOPHER",
        "middle_name": "BLAKE",
        "credential": "EMT-P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-23",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MD",
            "license": "1955089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Paramedic in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Paramedic in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.