TAVITA SAELUA (NPI# 1396938908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396938908 |
| Entity Type | Individual |
| Full Name | TAVITA SAELUA |
| Practice Address |
3004 Ardennes Street Swmg(a), Usa Jfkswcs, Stop A Fort Bragg NC 28314 |
| Mailing Address |
3004 Ardennes St Fort Bragg NC 28310-9633 |
| Practice Telephone | 9103967775 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | Emergency Medical Service Providers |
| Street Address |
3004 ARDENNES STREET SWMG(A), USA JFKSWCS, STOP A |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1164075982 | A Touch of Grace Inc | Day Training/Habilitation Specialist | 2153 Heathcote Drive, Fayetteville, NC 28314 | 2019-07-21 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| Find all providers in zip 28314 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255566378 | Ronald Ray Viramontes Jr. | Emergency Medical Technician, Paramedic | 1 Malvesti Street, Fort Bragg, NC 28310-3430 | 2009-05-19 |
| 1487898961 | Jason Dean Cox | Emergency Medical Technician, Paramedic | Aid Station, Command Surgeon, Fort Bragg, NC 28307-0239 | 2009-04-28 |
| 1952545477 | Heidi Nichole Oberst | Emergency Medical Technician, Paramedic | Malvesti Street Bldg. 3-3046, Jsoc Aid Station, Fort Bragg, NC 28307-0239 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760013940 | Pete Alfonso Walker | Emergency Medical Technician, Paramedic | Bldg Rr612 Loop Road, Sneads Ferry, NC 28460 | 2020-01-28 |
| 1851741326 | Yakana Cross | Emergency Medical Technician, Paramedic | 21 Ackland Dr, Greensboro, NC 27455-2787 | 2016-06-15 |
| 1720346745 | John Iakopo Leasiolagi | Emergency Medical Technician, Paramedic | 2d Reconnaissance Bn, 2d Mardiv, Psc Box 20138, Camp Lejeune, NC 28542 | 2012-04-27 |
| 1891091872 | Peter James Oloff | Emergency Medical Technician, Paramedic | 51 Southchase Dr, Fletcher, NC 28732-9265 | 2011-02-08 |
| 1831401876 | Joseph Martin Hayden II | Emergency Medical Technician, Paramedic | 210 Bluebird Ct, Sneads Ferry, NC 28460-6804 | 2010-07-07 |
| 1962734921 | Lee Edward Boujie | Emergency Medical Technician, Paramedic | Building A-71, Sneads Ferry Rd, Camp Lejeune, NC 28445-0138 | 2010-02-02 |
| 1013142231 | Joshua Douglas Stephenson | Emergency Medical Technician, Paramedic | 1 Matero Drive, Pope Field, NC 28308 | 2009-05-18 |
| 1972747863 | Barry Alan Frasier | Emergency Medical Technician, Paramedic | 3-1947 Malvesti Road, Pope Afb, NC 28308 | 2009-04-23 |
| 1285825208 | Brandon Ryan | Emergency Medical Technician, Paramedic | 202 Village Rd Ne, Leland, NC 28451-7414 | 2007-08-06 |
| 1598963688 | Linville-central Rescue Squad, Inc. | Emergency Medical Technician, Paramedic | 1940 Linville Falls Highway, Newland, NC 28657 | 2007-07-10 |
| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 28314 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.