Lifeguard Ambulance Service of Texas, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

LIFEGUARD AMBULANCE SERVICE OF TEXAS, LLC

Practice address

1100 E Loop 304
Crockett, TX 75835-1810

Phone

(936) 544-4505

NPI assigned

Mar 20, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Scott Tierney

Title

Evp, Chief Financial Officer

Phone

(833) 703-2294

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lifeguard Ambulance Service of Texas LLC

  • Land Ambulance
  • Addison, TX
  • NPI 1720376429

  O20111020000751

  Same enrollment
• Lifeguard Ambulance Service of Texas, LLC

  • Ambulance
  • Brownwood, TX
  • NPI 1457716037

  O20111020000751

  Same enrollment

Tax ID family

Lifeguard Ambulance Service3 organizations share this tax ID, including this one

Part of

Lifeguard Ambulance Service

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Lifeguard Ambulance Service of Texas LLC

  • Ambulance
  • Addison, TX
  • NPI 1396003513
  NPD tax ID
• Lifeguard Ambulance Service of Texas, LLC

  • Ambulance
  • Brownwood, TX
  • NPI 1457716037
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1013301647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847343",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847343",
            "telephone_number": "800-913-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E LOOP 304",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351810",
            "telephone_number": "936-544-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEGUARD AMBULANCE SERVICE OF TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EVP, CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013301647",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Nichole Knowles, APRN, FNP-C
• John Douglas Kolander, P.T.
• Ravi Konidala, MD
• Mary Krug, CCC-SLP
• Brooke Alison Kuza, M.S., CCC-SLP
• Meagan Linton-Defrance, MSN, APRN, FNP-C
• Lol Dental
• Lusso Laboratory LLC
• Amber Breanna Manning, RN
• James Jeffrey Martin, R.PH.

• Ambulance in Crockett, TX
• Providers in Crockett, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.