JACKIE LEON CHEATHAM EMT NPI 1225348980

NPI Information

  • NPI: 1225348980
  • Provider Name: JACKIE LEON CHEATHAM, EMT
  • Classification: Emergency Medical Technician, Basic - 146N00000X
  • Entity Type: Individual
  • Address: 907 AR HWY 56
    CALICO ROCK, AR
    ZIP 72519
  • Phone: (870) 421-9494

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NPI Details

Jackie Leon Cheatham, EMT is an emergency medical technician basic in Calico Rock, AR. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. Jackie Leon Cheatham, EMT NPI is 1225348980. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

907 AR HWY 56
CALICO ROCK, AR
ZIP 72519-261
Phone: (870) 421-9494

The enumeration date for this NPI number is 10/15/2010 and was last updated on 10/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1146N00000XEmergency Medical Technician, Basic16847ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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