ATHAN ANDERSON, III – NPI #1215957469
Emergency Medical Technician, Basic

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

ATHAN ANDERSON, III is a basic emergency medical technician located in PORTSMOUTH, VA. NPPES has assigned the NPI number 1215957469 to ATHAN ANDERSON, III on July 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 146N00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medical Technician, Basic.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ATHAN ANDERSON, III below.

NPI Profile for
ATHAN ANDERSON, III

NPI Number
1215957469
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ATHAN ANDERSON, III
Primary location
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23707-2199
Phone: (757) 483-8710 Fax: (757) 483-8716
Mailing address
1324 DARIEN COURT
VIRGINIA BEACH, VA 23464-8808
Phone: (757) 463-6674 Fax: (757) 483-8716
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
146N00000X
- Emergency Medical Technician, Basic (Primary)
CA B1625287

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.