Individual provider Active NPI

Beth Ann McOmber

  • Basic Emergency Medical Technician
  • Everett, WA
National Provider Identifier
1225880941
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
E3223972
Practice address
2000 W Marine View Dr BLDG 2108
Everett, WA 98207-5000
Phone
(425) 304-5853
NPI assigned
Apr 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Medical Technicians 1710I1003X
Registered Respiratory Therapist 227900000X LR60971320 WA
Basic Emergency Medical Technician 146N00000X E3223972 Primary

Addresses

Primary practice location

2000 W Marine View Dr BLDG 2108
Everett, WA 98207-5000

Mailing address

6751 34TH Ave SW
Seattle, WA 98126-4207
Phone (530) 220-5953

Other names 1

  • Beth Ann Minkler Former name

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

State licenses

LicenseStateTypeSpecialty
LR60971320WAMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1225880941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 34TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981264207",
            "telephone_number": "530-220-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W MARINE VIEW DR BLDG 2108",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982075000",
            "telephone_number": "425-304-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCOMBER",
        "first_name": "BETH",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "WA",
            "license": "LR60971320",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": "E3223972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "MINKLER",
            "middle_name": "ANN",
            "credential": "NREMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.