NPIMap

Organization Active NPI

US Dept of the Interior National Park Service

Doing business as Grand Teton National Park EMS

  • Ambulance
  • Moose, WY
National Provider Identifier
1457576084
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
9999999 Issued in WY
Legal business name
US DEPT OF THE INTERIOR NATIONAL PARK SERVICE
Doing business as
Grand Teton National Park EMS
Grand Tetons National Park
Practice address
103 Headquarters Loop
Moose, WY 83012-0170
Phone
(307) 739-3331
NPI assigned
Apr 17, 2007
Last updated
May 9, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
US DEPARTMENT OF THE INTERIOR, NATIONAL PARK SERVICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2026

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

Authorized official

Name
Mr. Levi Yardley
Title
EMS Program Director
Phone
(307) 250-3993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 9999999 WY Primary

Addresses

Primary practice location

103 Headquarters Loop
Moose, WY 83012-0170

Mailing address

13461 Sunrise Valley Dr Ste 200
Herndon, VA 20171-3283
Phone (833) 469-7789

Other names 2

  • Grand Teton National Park EMS Doing business as
  • Grand Tetons National Park Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080212000142 WY Part B Supplier - Ambulance Service Supplier 7911803754 Practice locations: Moose, WY

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
US Department of the Interior National Park Service7 organizations share this tax ID, including this one
Part of
US Department of the Interior National Park Service

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778284800000",
    "number": "1457576084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13461 SUNRISE VALLEY DR STE 200",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713283",
            "telephone_number": "833-469-7789",
            "fax_number": "952-985-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 HEADQUARTERS LOOP",
            "city": "MOOSE",
            "state": "WY",
            "postal_code": "830120170",
            "telephone_number": "307-739-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US DEPT OF THE INTERIOR NATIONAL PARK SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US DEPARTMENT OF THE INTERIOR, NATIONAL PARK SERVICE",
        "enumeration_date": "2007-04-17",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A",
        "authorized_official_last_name": "YARDLEY",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "EMS PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "307-250-3993",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WY",
            "license": "9999999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Teton National Park EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Tetons National Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2026; 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.