MR. KEITH DEAN DRAKE (NPI# 1497395008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497395008 |
| Entity Type | Individual |
| Full Name | MR. KEITH DEAN DRAKE |
| Credential | NREMT-PARAMEDIC |
| Practice Address |
12609 Javea Dr Austin TX 78739-1541 |
| Practice Telephone | 7374001009 |
| Mailing Telephone | 7374001009 |
| Enumeration Date | 2020-01-11 |
| Last Update Date | 2020-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | M0947383 | TX | Emergency Medical Service Providers |
| Street Address |
12609 JAVEA DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78739-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871002188 | Cole Stutz | Physical Therapist | 5401 La Crosse Ave., Building C, Suite 101, Austin, TN 78739 | 2017-09-29 |
| 1346796992 | Amanda Sylvie | Dietitian, Registered | 6604 Nusser Ln, Austin, TX 78739 | 2016-09-01 |
| 1609259431 | Marjan Aryannejad | Pharmacist | 10805 Tollesboro Cove, Austin, TX 78739 | 2015-06-29 |
| 1780071563 | Lauren Vaughn | Counselor | 11228 South Bay Lane, Austin, TX 78739 | 2015-04-20 |
| 1649552860 | Purvi Patel | Pharmacist | 12212 Tuberose Ter, Austin, TX 78739 | 2011-09-14 |
| 1780915124 | Stephanie Ann Etie | Behavioral Analyst | 5924 Rickerhill Ln, Austin, TX 78739 | 2010-01-25 |
| 1972724730 | Qiao Xu | Acupuncturist | 11236 South Bay Lane, Austin, TX 78739 | 2007-05-01 |
| 1740382084 | Ferril Chris Smith | Internal Medicine | 4104 Reynosa Dr, Austin, TX 78739 | 2006-09-05 |
| 1295235992 | Sally Elizabeth Stroud | Registered Nurse | 6405 Back Bay Ln, Austin, TX 78739-1402 | 2018-02-19 |
| 1982262317 | Adrienne Lee Wiggins | Registered Nurse | 6407 Old Harbor Ln, Austin, TX 78739-1405 | 2019-05-31 |
| Find all providers in zip 78739 | ||||
| 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 |
|---|---|---|---|---|
| 1548868896 | Capitol Medical Service, LLC | Emergency Medical Technician, Paramedic | 1107 River Ridge Dr, Austin, TX 78732-6133 | 2020-10-09 |
| 1952915373 | Evan J Bradley | Emergency Medical Technician, Paramedic | 11504 Arbroath Ln, Austin, TX 78754-5958 | 2020-09-02 |
| 1356719819 | Paul Edwards IIi | Emergency Medical Technician, Paramedic | 2208 Ranch Road 620 N Apt 3103, Austin, TX 78734-2817 | 2015-09-14 |
| 1457481350 | Jollyville Volunteer Fire Dept | Emergency Medical Technician, Paramedic | 12507 Mellow Meadow Dr, Austin, TX 78750-1827 | 2007-03-07 |
| 1376575753 | J Nile Barnes | Emergency Medical Technician, Paramedic | 2409 University Ave, U of Texas College of Pharmacy, Austin, TX 78712-1112 | 2006-07-07 |
| 1639564875 | Lino Alvarado | Emergency Medical Technician, Paramedic | 403 E 15th St, Austin, TX 78701-1437 | 2015-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389544 | Kevin Nichols | Emergency Medical Technician, Paramedic | 8004 Lanham Ln, Houston, TX 77075-2653 | 2020-09-08 |
| 1427669183 | Crystal Lane King | Emergency Medical Technician, Paramedic | 736 Lake Carolyn Pkwy Apt 146w, Irving, TX 75039-3995 | 2020-08-14 |
| 1023636297 | Erik Michael Hassan | Emergency Medical Technician, Paramedic | 22607 Coriander Dr, Katy, TX 77450-1523 | 2020-07-13 |
| 1992323448 | Ricardo Valentin Aldape | Emergency Medical Technician, Paramedic | 3902 Ashwood Dr, Pearland, TX 77584-9200 | 2020-07-10 |
| 1982234852 | Adriana Benson | Emergency Medical Technician, Paramedic | 2408 E 20th St, Mission, TX 78572-3389 | 2020-01-20 |
| 1689237810 | Samantha A Stockreef | Emergency Medical Technician, Paramedic | 906 N Old Robinson Rd, Robinson, TX 76706-5237 | 2019-04-14 |
| 1144715269 | Zachary Yancey Paul | Emergency Medical Technician, Paramedic | 1716 Hal Ave, Cleburne, TX 76031-7614 | 2018-06-30 |
| 1710486220 | Soar Ems | Emergency Medical Technician, Paramedic | 6403 Industrial Dr Ste 3, Sachse, TX 75048 | 2018-02-09 |
| 1750893129 | Regina Michelle Gallion | Emergency Medical Technician, Paramedic | 1301 Harvey Rd Apt 279, College Station, TX 77840-3795 | 2017-10-25 |
| 1235679663 | Jack Griffin | Emergency Medical Technician, Paramedic | 3006 Big Divide Rd, Copperas Cove, TX 76522-3235 | 2017-03-04 |
| Find all providers with the same taxonomy | ||||
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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.