Active NPI
Paul Matthew Rydberg, AEMT
- Intermediate Emergency Medical Technician
- Granite Falls, WA
National Provider Identifier
1790646263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intermediate Emergency Medical Technician
- License
- A2075747
- Practice address
- 22109 N River Dr
Granite Falls, WA 98252-8555 - Phone
- (702) 556-3753
- NPI assigned
- Nov 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | A2075747 | WA | Primary |
Addresses
Primary practice location
22109 N River Dr
Granite Falls, WA 98252-8555
Mailing address
22109 N River Dr
Granite Falls, WA 98252-8555
Phone (702) 556-3753
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
| License | State | Type | Specialty |
|---|---|---|---|
| A2075747 | WA | MD | Intermediate Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1790646263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22109 N RIVER DR",
"city": "GRANITE FALLS",
"state": "WA",
"postal_code": "982528555",
"telephone_number": "702-556-3753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22109 N RIVER DR",
"city": "GRANITE FALLS",
"state": "WA",
"postal_code": "982528555",
"telephone_number": "702-556-3753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYDBERG",
"first_name": "PAUL",
"middle_name": "MATTHEW",
"credential": "AEMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-24",
"last_updated": "2025-11-24",
"certification_date": "2025-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "WA",
"license": "A2075747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granite Falls, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.