Town of Prosper

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

043012 Issued in TX

Legal business name

TOWN OF PROSPER

Practice address

1500 E 1St St
Prosper, TX 75078-8971

Phone

(729) 347-2424

Fax

(800) 353-2196

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Stuart Blasingame

Title

Fire Chief

Phone

(972) 347-2424

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PROSPER FIRE RESCUE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1922147206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495548",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750495548",
            "telephone_number": "214-340-2650",
            "fax_number": "214-503-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 1ST ST",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788971",
            "telephone_number": "729-347-2424",
            "fax_number": "800-353-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF PROSPER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "BLASINGAME",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "972-347-2424"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "043012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015586",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922147206",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROSPER FIRE RESCUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Tietjen, EMT
• Sebastian Tobias
• Kendaija D Todd
• Archana Tompkins
• Isabella Torres
• Sifrance Tran, M.D.
• Hunter Tranchina
• Trinity Care Navigation
• Trisha Modi, MD, PLLC
• Triumph Care Inc.

• Land Ambulance in Prosper, TX
• Providers in Prosper, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.