Individual provider Active NPI

Lola Florence Swimm, EMT

  • Basic Emergency Medical Technician
  • Genoa, WV
National Provider Identifier
1972224442
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
WV082617 Issued in WV
Practice address
860 Bartram Fork Rd
Genoa, WV 25517-7830
Phone
(304) 601-1140
NPI assigned
Sep 2, 2022
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X WV082617 WV Primary

Addresses

Primary practice location

860 Bartram Fork Rd
Genoa, WV 25517-7830

Mailing address

860 Bartram Fork Rd
Genoa, WV 25517-7830
Phone (304) 601-1140

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lswimm508@icloud.com
CONNECT URL 304-601-1140

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

LicenseStateTypeSpecialty
WV082617WVMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1972224442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 BARTRAM FORK RD",
            "city": "GENOA",
            "state": "WV",
            "postal_code": "255177830",
            "telephone_number": "304-601-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BARTRAM FORK RD",
            "city": "GENOA",
            "state": "WV",
            "postal_code": "255177830",
            "telephone_number": "304-601-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIMM",
        "first_name": "LOLA",
        "middle_name": "FLORENCE",
        "credential": "EMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "WV",
            "license": "WV082617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lswimm508@icloud.com",
            "affiliation": "N",
            "address_1": "860 Bartram Fork Rd",
            "city": "Genoa",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255177830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "304-601-1140",
            "affiliation": "N",
            "address_1": "860 Bartram Fork Rd",
            "city": "Genoa",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255177830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Genoa, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.