Organization Active NPI

Northwest Ambulance LLC

  • Land Ambulance
  • Everett, WA
National Provider Identifier
1679770549
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
31X12 Issued in WA
Legal business name
NORTHWEST AMBULANCE LLC
Practice address
8115 Broadway Ste 101
Everett, WA 98203-6871
Phone
(360) 722-9211
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Joel Harold Smith
Title
Ceo
Phone
(425) 359-0344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 31X12 WA Primary

Addresses

Primary practice location

8115 Broadway Ste 101
Everett, WA 98203-6871

Mailing address

8115 Broadway Ste 101
Everett, WA 98203-6871
Phone (360) 722-9211

Other names 2

  • Northwest Ambulance Doing business as
  • Platinum Nine Holdings LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070911000848 WA Part B Supplier - Ambulance Service Supplier 6204929987 Practice locations: Burlington, WA; Everett, WA; Federal Way, WA; Fife, WA; Kirkland, WA; Mountlake Ter, WA; Tacoma, WA

National Provider Directory

National Provider Directory

Locations

121 N Spruce St
Burlington, WA 98233
Phone (509) 899-5228

1837 Bouslog Rd
Burlington, WA 98233
Phone (360) 588-4356

8115 Broadway
Ste 101
Everett, WA 98203
Phone (360) 722-9211

8620 Holly Dr
Ste 250
Everett, WA 98208
Phone (877) 480-2929

203 130th St SE
Everett, WA 98208

8115 Broadway
Everett, WA 98203
Phone (425) 327-0798

1316 Wall St
Everett, WA 98201

33720 9th Ave S
Ste 12
Federal Way, WA 98003

12816 NE 125th Way
Ste B578
Kirkland, WA 98034

1326 5th St
Ste C1C
Marysville, WA 98270
Phone (425) 327-0798

706 Cedar Ave
Marysville, WA 98270
Phone (877) 480-2929

22003 66th Ave W
Ste M6
Mountlake Terrace, WA 98043
Phone (877) 480-2929

6405 218th St SW
Mountlake Terrace, WA 98043
Phone (425) 248-4100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1679770549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 BROADWAY STE 101",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036871",
            "telephone_number": "360-722-9211",
            "fax_number": "360-925-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 BROADWAY STE 101",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036871",
            "telephone_number": "360-722-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-359-0344"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "31X12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Platinum Nine Holdings LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.