Individual provider Active NPI

Jefferson Lenghong Chea, EMT

  • Basic Emergency Medical Technician
  • Kent, WA
National Provider Identifier
1609600410
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
61486696 Issued in WA
Practice address
18821 E Valley Hwy
Kent, WA 98032-1219
Phone
(206) 988-5000
NPI assigned
Aug 26, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 61486696 WA Primary

Addresses

Primary practice location

18821 E Valley Hwy
Kent, WA 98032-1219

Mailing address

15560 Westminster Way N Apt 514
Shoreline, WA 98133-5942
Phone (206) 902-0568

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
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
61486696WAMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Med Ambulance LLC PastSince Sep 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1609600410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15560 WESTMINSTER WAY N APT 514",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335942",
            "telephone_number": "206-902-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18821 E VALLEY HWY",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321219",
            "telephone_number": "206-988-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEA",
        "first_name": "JEFFERSON",
        "middle_name": "LENGHONG",
        "credential": "EMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "WA",
            "license": "61486696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

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