Active NPI
Amanda Sue McGee
- Basic Emergency Medical Technician
- Travis Afb, CA
National Provider Identifier
1932506276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- E1822858
- Practice address
- 225 Dakota CT
Travis Afb, CA 94535-1600 - Phone
- (501) 247-6258
- NPI assigned
- Dec 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | E1822858 | TX | Primary |
| Independent Duty Medical Technicians | 1710I1003X |
Addresses
Primary practice location
225 Dakota CT
Travis Afb, CA 94535-1600
Mailing address
225 Dakota CT
Travis Afb, CA 94535-1600
Phone (501) 247-6258
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 |
|---|---|---|---|
| E1822858 | TX | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1932506276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 DAKOTA CT",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351600",
"telephone_number": "501-247-6258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 DAKOTA CT",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351600",
"telephone_number": "501-247-6258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGEE",
"first_name": "AMANDA",
"middle_name": "SUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-02",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "TX",
"license": "E1822858",
"primary": true
},
{
"code": "1710I1003X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Medical Technicians",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Travis Afb, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.