The National EMS Coordinated Database (NEMSCD) is the Commission’s secure, web-based system that centralizes EMS licensure details, Privilege to Practice status, and reportable investigations and discipline for Member States. NEMSCD allows Member States to rapidly validate primary-source licensure, adverse actions, and significant investigatory information.

Member States always own and control their data, preserving state sovereignty under the EMS Compact. The Commission has designated the National Registry of EMTs (NREMT) as the Database Administrator and collaborated with NREMT on design and implementation. Hosting, maintenance, and security are provided in-kind by NREMT to the United States EMS Compact.

Member State Database Integration Status

As the EMS Compact transitions to full operational status, Member States are synchronizing their licensure databases with NEMSCD.
Note: Qualified EMS clinicians licensed in a Member State that is not yet integrated with NEMSCD may still hold a valid Privilege to Practice that is not yet displayed in NEMSCD. Contact the state EMS licensing office for verification assistance.

NEMSCD Data Integration Status

✅	Submitting Data
	Partially Submitting Data
	In Process Submitting Data
✖	Not Submitting Data

Note: The yellow icon may indicate either partial submission or an in-process connection. For Delaware, it specifically means partial, EMT-level data only.

State	Status
Alabama	✅
Arkansas	✅
Colorado	✅
Delaware	EMTs only
Georgia	✅
Idaho	✅
Indiana
Iowa	✅
Kansas	✅
Louisiana	✅
Mississippi	✅
Missouri	✅
Nebraska	✖
Nevada	✅
North Dakota	✖
Oklahoma	✖
Pennsylvania	✖
South Carolina	✅
South Dakota	✅
Tennessee	✅
Texas	✅
Utah	✅
Virginia	✅
West Virginia	✅
Wyoming	✅

Primary-Source Equivalent

The NEMSCD licensure and discipline repository is populated directly from each State EMS Office’s licensing system. States remain the system of record; data is securely transmitted to NEMSCD on a scheduled basis (typically daily).

NEMSCD Quick Verify

Quick Verify allows EMS clinicians, agencies, and the public to validate a clinician’s Privilege to Practice and home state license status.

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Database FAQs

How do I change or update the information displayed in NEMSCD?

NEMSCD reflects the data in your state’s licensing system. The EMS Compact cannot change records. Contact your State EMS Office to correct source data; updates will flow to NEMSCD after the state transmits them.

Will the data contained in NEMSCD be sold?

No.

Can a private company purchase a mailing list of EMS clinicians from the EMS Compact?

No. The information in NEMSCD is not sold. The public portal is a secure, free tool to validate an individual clinician’s license and Privilege to Practice status.

I am licensed in a Member State, but my information is not found. Why?

Some Member States are still completing integration. See the NEMSCD Data Integration Status table above. If your state is integrated but your record is not displayed, common reasons include:

• Recent changes still propagating. Although updates are typically posted in less than 24 hours, maintenance or technical issues may cause delays.
• Missing or unverified National EMS ID. This unique identifier links your state license and National Registry record. If your EMS ID is missing or cannot be validated, your information will not display. Contact your State EMS Office to resolve.

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State License Software Solutions

Compliant Software Vendors

State EMS licensure systems are required by Compact law and rules to integrate and exchange data with NEMSCD. The following vendors and systems have demonstrated compliance:

• ImageTrend License Management
• DB Sysgraph
• Texas Department of State Health Services License Management System
• Virginia Department of Health License Management System

Suggested Template Language for State RFPs to Ensure Compliance with EMS Compact Law and Administrative Rules

Use this template to ensure RFPs for EMS licensure systems comply with the EMS Compact law and Administrative Rules, including integration with the National EMS Coordinated Database (NEMSCD).

Suggested RFP Specifications: EMS Licensure Management Software

The state seeks a solution compliant with EMS Compact requirements, enabling real-time or near-real-time exchange of licensure, certification, and adverse action data. The solution must integrate with NEMSCD and follow the Coordinated Database Administrative Rules.

1. API Integration and Data Submission

The software must integrate with the following NEMSCD APIs and support OAuth 2.0 for secure access:

• NREMT Certification Data API for real-time certification verification.
• National EMS ID Identity Server API to manage identity and display EMS ID on all public license inquiries.
• EMS Licensure Data API to submit, update, and retrieve licensure, adverse action, and investigatory data.

Data exchanges must be JSON and meet Compact reporting timelines, including:

• Licensure data in near-real time preferred, no later than 10 business days after changes.
• Adverse actions and investigatory data in near-real time preferred, no later than two (2) business days.

2. Security and Confidentiality

Implement end-to-end encryption in transit and at rest. Support designation of confidential information and comply with state expungement requirements.

3. Real-Time Error Handling and Audit Trails

• Provide real-time error handling with standardized HTTP status codes and automated retries.
• Maintain detailed audit trails of user actions, data modifications, and submission timestamps.

4. Compliance with EMS Compact Rules

Comply with EMS Compact law and rules, including the Uniform Data Set: identifying information, licensure status, adverse actions, and Privilege to Practice. Display the National EMS ID on all public license inquiries.

5. Scalability and Performance Monitoring

Scale to handle growth without performance degradation and include monitoring to detect and resolve latency or throughput issues.

For specific API technical details, please contact the EMS Compact Office.