Active NPI
Jeff Chatterton, EMT B
- Basic Emergency Medical Technician
- Fort Edward, NY
National Provider Identifier
1932773249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 085291
- Practice address
- 4 Ella Dr
Fort Edward, NY 12828-2490 - Phone
- (518) 423-7066
- NPI assigned
- May 20, 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 | 085291 | NY | Primary |
Addresses
Primary practice location
4 Ella Dr
Fort Edward, NY 12828-2490
Mailing address
4 Ella Dr
Fort Edward, NY 12828-2490
Phone (518) 423-7066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085291 | Other | NY | NEW YORK STATE DEPARTMENT OF HEALTH |
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
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085291 | NY | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1932773249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ELLA DR",
"city": "FORT EDWARD",
"state": "NY",
"postal_code": "128282490",
"telephone_number": "518-423-7066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 ELLA DR",
"city": "FORT EDWARD",
"state": "NY",
"postal_code": "128282490",
"telephone_number": "518-423-7066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATTERTON",
"first_name": "JEFF",
"credential": "EMT B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-20",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "NY",
"license": "085291",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE DEPARTMENT OF HEALTH",
"identifier": "085291",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Edward, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.