Active NPI
Elijah Shen, EMT
- Basic Emergency Medical Technician
- Olympia, WA
National Provider Identifier
1083565964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- E3452475
- Practice address
- 4225 Briggs Dr SE Apt B303
Olympia, WA 98501-4174 - Phone
- (954) 551-3814
- NPI assigned
- Feb 5, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | E3452475 | WA | Primary |
Addresses
Primary practice location
4225 Briggs Dr SE Apt B303
Olympia, WA 98501-4174
Mailing address
4225 Briggs Dr SE Apt B303
Olympia, WA 98501-4174
Phone (954) 551-3814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3452475 | WA | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1083565964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 BRIGGS DR SE APT B303",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985014174",
"telephone_number": "954-551-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 BRIGGS DR SE APT B303",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985014174",
"telephone_number": "954-551-3814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEN",
"first_name": "ELIJAH",
"credential": "EMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-05",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "WA",
"license": "E3452475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.