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MATTHEW RUSSELL JOHNSOM EMT
NPI 1225969892
Emergency Medical Technician, Basic in Loves Park, IL

Active since May 25, 2026
12318 EMPIRE ST, LOVES PARK, IL 61111(815) 378-4556 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Russell Johnsom Emt NPPES

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

MATTHEW RUSSELL JOHNSOM EMT (NPI 1225969892) is an individual emergency medical technician, basic provider in Loves Park, Illinois and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1225969892
Entity TypeIndividualMale
Primary Taxonomy146N00000X
Provider Legal NameMATTHEW RUSSELL JOHNSOMCredential: EMT
Location Address12318 EMPIRE STLoves Park, IL 61111-8957
Mailing Address12318 Empire StLoves Park, IL 61111-8957 · (815) 378-4556
Phone(815) 378-4556
Sole ProprietorYes
Enumeration DateMay 25, 2026
NPPES CertifiedMay 24, 2026
✔ NPI 1225969892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
12318 EMPIRE ST, Loves Park, IL 61111
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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 Matthew Johnsom's NPI number?

The NPI number for Matthew Johnsom is 1225969892. It was assigned to this individual provider in the NPPES registry on May 25, 2026.

Where is Matthew Johnsom located?

Matthew Johnsom practices at 12318 Empire St, Loves Park, IL 61111. The listed phone number is (815) 378-4556.

What is Matthew Johnsom'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 Matthew Johnsom was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.