Individual provider Active NPI

James Mike Dumorne II, EMT

  • Basic Emergency Medical Technician
  • Naples, FL
National Provider Identifier
1992417315
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
EMT570770 Issued in FL
Practice address
3606 Enterprise Ave Ste 200
Naples, FL 34104-3670
Phone
(239) 599-5606
NPI assigned
Dec 16, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 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 EMT570770 FL Primary

Addresses

Primary practice location

3606 Enterprise Ave Ste 200
Naples, FL 34104-3670

Mailing address

15275 Collier Blvd Ste 201-356
Naples, FL 34119-6750

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
EMT570770FLMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1992417315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15275 COLLIER BLVD STE 201-356",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341196750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 ENTERPRISE AVE STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341043670",
            "telephone_number": "239-599-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMORNE",
        "first_name": "JAMES",
        "middle_name": "MIKE",
        "name_suffix": "II",
        "credential": "EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "FL",
            "license": "EMT570770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.