Jeri R Wallin, EMT III

Primary specialty

Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X

License

1550877 Issued in AK

Practice address

1000 E 36TH Ave
Anchorage, AK 99508-4304

Phone

(907) 441-8559

NPI assigned

Nov 19, 2021

Last updated

Nov 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Weka LLC

  • Air Ambulance
  • Anchorage, AK
  • NPI 1699362673
  NPD

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1992462345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 B ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99515",
            "telephone_number": "907-659-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 36TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084304",
            "telephone_number": "907-441-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIN",
        "first_name": "JERI",
        "middle_name": "R",
        "credential": "EMT III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "AK",
            "license": "1550877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Beth Wallace
• Susan 'Suzi' Wallace, PSYCHOLOGIST
• Destiny Waller
• Samuel Thomas Dunn Waller, MD
• Michael Walleri, DO
• Mackenzie G Wallin, BA
• Gordon Jay Wallis, LMT.
• Elizabeth Wallmann-Filley, LMSW
• Vanessa Walluk
• Walmart Inc. (Walmart Pharmacy 10-2070)

• Intermediate Emergency Medical Technician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Intermediate Emergency Medical Technician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.