City of Everett

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

31M04 Issued in WA

Legal business name

CITY OF EVERETT

Doing business as

Everett Fire Department

Practice address

2811 Oakes Ave
Everett, WA 98201-3629

Phone

(425) 257-8137

NPI assigned

Jan 9, 2006

Organization subpart

No

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

Authorized official

Name

Peter Vier

Title

EMS Chief

Phone

(425) 257-8100

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Everett Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1770561706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3510",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833510",
            "telephone_number": "360-394-7030",
            "fax_number": "360-394-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 OAKES AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013629",
            "telephone_number": "425-257-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF EVERETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "VIER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "425-257-8100"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "31M04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00225605",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1248EV",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0189616",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9569104",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everett Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Lee Church, PA-C
• William Stuart Church, O.D.
• Linda R Ciaramitaro, ARNP
• Cindy Hy OD, Inc.
• Citrine Health
• City of Mountlake Terrace
• Bryce David Civic, DO
• Steve Clancy, PH.D.
• Elisabeth Lorraine Clapper, BA
• Shermoin Rena Clardy, LICSW, SUDPT

• Land Ambulance in Everett, WA
• Providers in Everett, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.