Evan Jackson Frost, EMT-B
Emergency Medical Technician, Basic in Santa Fe, NM. Individual provider (NPI-1).
NPI number1265139331
StatusActive
Last updated in NPPESFeb 9, 2023
Details
- NPI
- 1265139331
- Entity type
- Individual (NPI-1)
- Name
- Evan Jackson Frost
- Credential
- EMT-B
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2023
- Certification date
- Feb 9, 2023
- Last updated
- Feb 9, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 146N00000X | Emergency Medical Technician, Basic | 1016380 | MN | Yes |
Practice location
2052 Galisteo StSanta Fe, NM 87505-2100
Phone 505-819-3419
Mailing address
904 Bishops Lodge RdSanta Fe, NM 87501-1131
Phone 505-819-7317
Is something wrong?
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Other Basic Emergency Medical Technician providers in Santa Fe, NM
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