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The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions.
Even though primary management and regulation of prehospital providers is at the state level, the federal government does have a model scope of practice including minimum skills for EMRs, EMTs, Advanced EMTs and Paramedics set through the National Highway Traffic Safety Administration (NHTSA). [1]
The National Registry of Emergency Medical Technicians (NREMT) is a US based, non-profit certification organization for pre-hospital emergency medical providers that exists to ensure that every Emergency Medical Technician has the knowledge and skills required for competent practice.
The Nationwide Multi-State Licensing System and Registry (NMLS) (originally the Nationwide Mortgage Licensing System) is the system of record for non-depository, financial services licensing or registration in participating state agencies, including the District of Columbia and U.S. Territories of Puerto Rico, the U.S. Virgin Islands, and Guam.
However, the NPI does not replace a provider's DEA number, state license number, or tax identification number. The NPI is 10 digits (may be alphanumeric), with the last digit being a checksum. The NPI cannot contain any embedded intelligence; in other words, the NPI is simply a number that does not itself have any additional meaning.
State governments maintain their own health departments, and local governments (counties and municipalities) often have health departments that are branches of the state health department. State boards may have executive and police authority to enforce state health laws, with all members required to be healthcare professionals in some states.
State, Local, and Tribal governments can receive up to $250,000 in two-year grants Nonprofit Social Service Providers engaged in capacity building: they will make grants available to nonprofit organizations that can assist other nonprofit organizations in organizational development, program development, leadership, and evaluations.
An EMS provider's post-nominal (listed after the name) credentials usually follow his or her name in this order: Highest earned academic degree in or related to medicine, (e.g. "MD") Highest licensure or certification (e.g. "NRP") Further certifications (e.g. "CCEMT-P") Generally, credentials are listed from most to least prestigious.