Nevada separates two credentials: an EMT certification shows you met the education and testing standard, and an ambulance attendant license lets you give care for a permitted EMS or fire agency. Both come from the Division of Public and Behavioral Health's State EMS program. Everything below comes from the program's FAQ, its fingerprint forms and NAC 450B, checked October 18, 2026.
Study aid, not a protocol. Nothing on this site replaces your course, your medical director or your agency's protocols. Built by an RN and former EMT. Headed In LLC is not affiliated with, endorsed by or connected to the National Registry of Emergency Medical Technicians (NREMT) or any state EMS office; their names appear here only to point you to the real thing.
The national steps, briefly
A state-approved EMT course
Every state approves its own programs, all taught to the National EMS Education Standards. Most run 150 to 300 hours over three to six months.
A healthcare-provider CPR card
AHA BLS or an equivalent your state accepts, usually before clinicals.
The cognitive exam
The National Registry (NREMT) EMT exam: 70 to 120 adaptive questions in 2 hours, $104 per attempt, six attempts within two years of your course.
Your state's license or certification
The card comes from the state, not the Registry. The state's own steps are below.
Nevada Division of Public and Behavioral Health, State EMS Program
Course: a state-approved EMT program.
Exams: the National Registry psychomotor and cognitive exams, then apply for certification.
Background check: a Nevada Department of Public Safety background check at initial certification; ask your program for the program's current fingerprint request form and fee.
Attendant license: to work on an ambulance, hold an attendant license from your agency's permit; it expires with your EMT certificate.
Fees and age: the program's pages list neither the certification fee nor an age; ask your program.
Renewal:24 hours of continuing education for EMTs; late renewals pay an extra fee and must pass the Registry cognitive exam again.
From another state: reciprocity with an active National Registry certification, or with an active out-of-state certification plus the Registry written exam at your level.
Sources: Nevada State EMS program FAQs; NAC 450B (attendant licenses). The State EMS FAQ points Clark County residents to the Southern Nevada Health District for some EMS matters; ask your program which office handles your certification. Checked October 18, 2026.