Active NPI
Ryan J Klackle, EMT-P
- Paramedic
- Stanton, MI
National Provider Identifier
1972417822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 1752980
- Practice address
- 655 N State St
Stanton, MI 48888-9702 - Phone
- (989) 831-7580
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- 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 | 1752980 | MI | Primary |
Addresses
Primary practice location
655 N State St
Stanton, MI 48888-9702
Mailing address
301 S Lafayette St Apt 205
Greenville, MI 48838-1954
Phone (616) 824-1288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1972417822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S LAFAYETTE ST APT 205",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "488381954",
"telephone_number": "616-824-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 N STATE ST",
"city": "STANTON",
"state": "MI",
"postal_code": "488889702",
"telephone_number": "989-831-7580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLACKLE",
"first_name": "RYAN",
"middle_name": "J",
"credential": "EMT-P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "MI",
"license": "1752980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.