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MR. ATHAN ANDERSON III
NPI 1215957469
Emergency Medical Technician, Basic in Portsmouth, VA

Active since July 20, 2006
4000 COAST GUARD BLVD, PORTSMOUTH, VA 23707(757) 483-8710(757) 483-8716 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Athan Anderson Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ATHAN ANDERSON III (NPI 1215957469) is an individual emergency medical technician, basic provider in Portsmouth, Virginia, licensed in California (B1625287) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1215957469
Entity TypeIndividualMale
Primary Taxonomy146N00000X
Provider Legal NameMR. ATHAN ANDERSON III
Location Address4000 COAST GUARD BLVDPortsmouth, VA 23707-2199
Mailing Address1324 Darien CourtVirginia Beach, VA 23464-8808 · (757) 463-6674 · Fax (757) 483-8716
Phone(757) 483-8710
Fax(757) 483-8716
Sole ProprietorYes
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215957469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
License✔ Licensed in CA · B1625287
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
4000 COAST GUARD BLVD, Portsmouth, VA 23707
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Athan Anderson's NPI number?

The NPI number for Athan Anderson is 1215957469. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Athan Anderson located?

Athan Anderson practices at 4000 Coast Guard Blvd, Portsmouth, VA 23707. The listed phone number is (757) 483-8710.

What is Athan Anderson's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Basic with taxonomy code 146N00000X.

When was this NPI record last updated?

The NPPES record for Athan Anderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.