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EMS state licensing directory

National Registry certification is one half of practicing. The other half is your state license, and every state sets its own application, reciprocity, and renewal rules. Find your state’s EMS office and what it requires.

50 states

plus the District of Columbia

One page

office, reciprocity, and renewal rules

Free

no account required

Find your state

Certification and licensure are not the same thing

National Registry certification

Passing the NREMT cognitive and psychomotor exams earns you national certification. It is what most states use as the entry standard, but it is not a license to practice on its own.

State license

Your state EMS office issues the credential that actually lets you work. Each state sets its own application process, background requirements, fees, and scope of practice.

Reciprocity

Moving states usually means applying for legal recognition of your existing certification rather than starting over. What transfers automatically varies, and this is where candidates most often get stuck.

This directory is provided for reference only. State requirements change, and the state EMS office is always the authoritative source. Prehospital Prep is not affiliated with, endorsed, or sponsored by the NREMT, the IBSC, or any state licensing agency.

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