Active NPI
Jonathan Sahagun, MICP
- Paramedic
- Niobrara, NE
National Provider Identifier
1962763029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 3310
- Practice address
- 110 S Visiting Eagle St
Niobrara, NE 68760-7201 - Phone
- (402) 857-2900
- NPI assigned
- Jun 6, 2012
- Last updated
- Jun 6, 2012
- 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 |
|---|---|---|---|---|
| Paramedic | 146L00000X | 3310 | NE | Primary |
Addresses
Primary practice location
110 S Visiting Eagle St
Niobrara, NE 68760-7201
Mailing address
110 S Visiting Eagle St
Niobrara, NE 68760-7201
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 |
|---|---|---|---|
| 3310 | NE | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1962763029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S VISITING EAGLE ST",
"city": "NIOBRARA",
"state": "NE",
"postal_code": "687607201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S VISITING EAGLE ST",
"city": "NIOBRARA",
"state": "NE",
"postal_code": "687607201",
"telephone_number": "402-857-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAHAGUN",
"first_name": "JONATHAN",
"credential": "MICP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-06",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "NE",
"license": "3310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niobrara, NE
- Julie M Reynolds
- Sacred Heart Health Services (Avera Niobrara Clinic)
- Sacred Heart Rural Health Clinics (Avera Medical Group Niobrara)
- Danielle Sheree Sage
- Joann Rosa Sahagun
- Felicia Jean Sailer, RN
- Tamara Ann Sandoval, EMT -B
- Santee Clinic Health Center Pharmacy
- Santee Health Center
- Santee Sioux Nation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.