King County Fire District No 45

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

KING COUNTY FIRE DISTRICT NO 45

Practice address

15600 1St Ave NE
Duvall, WA 98019-6431

Phone

(425) 788-1625

Fax

(425) 788-0199

NPI assigned

Nov 15, 2022

Last updated

May 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wendy Moffatt

Title

Acting Chief

Phone

(425) 788-1625

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1396454740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980190338",
            "telephone_number": "425-788-1625",
            "fax_number": "425-788-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 1ST AVE NE",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980196431",
            "telephone_number": "425-788-1625",
            "fax_number": "425-788-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING COUNTY FIRE DISTRICT NO 45",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "MOFFATT",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "ACTING CHIEF",
        "authorized_official_telephone_number": "425-788-1625"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tequila Shapearl Jones
• K V H Inc (Duvall Family Drugs)
• Laureen Kaye, MA, LMHC
• Kids and Family Counseling, PLLC
• Alexis Kimball
• Skye King, LMP
• Kristine Renae Kingsbury, DPT
• Kyle Thomas Krekow, PA-C
• Lauren Valentine Kula, BA, CDP
• Shelly Marie Kvamme, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.