Jason D Budd, EMT-P, CP-C
Individual provider Active NPI Paramedic · Douglas, WY
NPI 1992461313 · NPPES record last updated Nov 10, 2021
Key facts
- NPI
- 1992461313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Paramedic 146L00000X
- License
- 103586 (WY)
- Practice address
- 111 S 5TH St
Douglas, WY 82633-2434 - Phone
- (307) 259-3148
- Fax
- (307) 358-7310
- NPI assigned
- Nov 10, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Emergency Medical Technician - Paramedic
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103586 | WY | MD | Paramedic |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 103586 | WY | Yes |
Addresses
Primary practice location
111 S 5TH St
Douglas, WY 82633-2434
Mailing address
111 S 5TH St
Douglas, WY 82633-2434
Other providers in Douglas, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.