South Whidbey Fire EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTH WHIDBEY FIRE EMS

Practice address

5579 Bayview Rd
Langley, WA 98260-9694

Phone

(360) 321-1533

Fax

(360) 321-9385

NPI assigned

Sep 25, 2025

Organization subpart

No

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

Authorized official

Name

Mary Kaye Johansen

Title

Finance Officer

Phone

(360) 969-6506

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1336012368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5579 BAYVIEW RD",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609694",
            "telephone_number": "360-969-6506",
            "fax_number": "360-321-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5579 BAYVIEW RD",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609694",
            "telephone_number": "360-321-1533",
            "fax_number": "360-321-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WHIDBEY FIRE EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "MARY KAYE",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "360-969-6506"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saratoga Speech Therapy LLC
• Donna Brand Selig, RN
• Judith Skenazy, PH.D.
• Mark Allen Smith, O.D.
• Jennifer Sousa, LMHC
• South Whidbey School District
• Madison Nicole Spencer, LMT
• Stillpoint Psychiatry
• Dinah Stinson, LMP
• Sureguard LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.