Individual provider Active NPI

Chet Merklin

  • Basic Emergency Medical Technician
  • Tukwila, WA
National Provider Identifier
1477014512
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
ES60901167 Issued in WA
Practice address
13075 Gateway Dr S Ste 100
Tukwila, WA 98168-3342
Phone
(206) 444-4444
NPI assigned
Mar 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X ES60901167 WA Primary

Addresses

Primary practice location

13075 Gateway Dr S Ste 100
Tukwila, WA 98168-3342

Mailing address

4612 SW Wildwood PL
Seattle, WA 98136-2654
Phone (206) 660-9622

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
ES60901167WAMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1477014512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 SW WILDWOOD PL",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981362654",
            "telephone_number": "206-660-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13075 GATEWAY DR S STE 100",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683342",
            "telephone_number": "206-444-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKLIN",
        "first_name": "CHET",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "WA",
            "license": "ES60901167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.