Individual provider Active NPI

Tatum Delanie Ervin, EMT-B

  • Basic Emergency Medical Technician
  • Montesano, WA
National Provider Identifier
1679401897
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
1006-8131-0562 Issued in WA
Practice address
PO Box 551
Montesano, WA 98563-0551
Phone
(360) 660-5702
NPI assigned
May 9, 2026
Last updated
May 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 1006-8131-0562 WA Primary

Addresses

Primary practice location

PO Box 551
Montesano, WA 98563-0551

Mailing address

PO Box 551
Montesano, WA 98563-0551
Phone (360) 660-5702

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
1006-8131-0562WAMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1778284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1679401897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985630551",
            "telephone_number": "360-660-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 551",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985630551",
            "telephone_number": "360-660-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "TATUM",
        "middle_name": "DELANIE",
        "credential": "EMT-B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-09",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "WA",
            "license": "1006-8131-0562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montesano, WA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.