Puget Sound Regional Fire Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PUGET SOUND REGIONAL FIRE AUTHORITY

Practice address

24611 116TH Ave SE
Kent, WA 98030-4939

Phone

(253) 856-4300

Fax

(253) 856-6300

NPI assigned

May 5, 2021

Organization subpart

No

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

Authorized official

Name

Aaron Michael Tyerman

Title

Deputy Chief

Phone

(253) 856-4300

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mi Thi Trieu Tran, ARNP

  • Primary Care Nurse Practitioner
  • Tacoma, WA
  • NPI 1801410675
  NPD (past)

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1083297154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24611 116TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304939",
            "telephone_number": "253-856-4300",
            "fax_number": "253-856-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24611 116TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304939",
            "telephone_number": "253-856-4300",
            "fax_number": "253-856-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND REGIONAL FIRE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "TYERMAN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DEPUTY CHIEF",
        "authorized_official_telephone_number": "253-856-4300"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Brooke Prudhomme, CPM-TN
• Public Hospital District #1 of King County (VMC Kent Primary Care)
• Raychel Puga Reynoso
• Puget Sound Drug Corporation (Key Pharmacy and Home Healthcare)
• Puget Sound Health and Rehab LLC (OnPoint Physical Therapy)
• Chandra Delaine Pugh
• Kimberly Pulliam, RN
• Pure Elegance RX LLC (Pure Elegance RX)
• Pure Escape Spa
• Ravneet Kaur Purewal, DNP

• Land Ambulance in Kent, WA
• Providers in Kent, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.