East Pierce Fire & Rescue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

27D22 Issued in WA

Legal business name

EAST PIERCE FIRE & RESCUE

Practice address

18421 Veterans Memorial Dr E
Bonney Lake, WA 98391-7109

Phone

(253) 863-1800

NPI assigned

Feb 27, 2006

Organization subpart

No

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

Authorized official

Name

Jon Parkinson

Title

Fire Chief

Phone

(253) 863-1800

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Pierce County FPD 22 Other name

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": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1871569137",
    "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": "18421 VETERANS MEMORIAL DR E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917109",
            "telephone_number": "253-863-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PIERCE FIRE & RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "PARKINSON",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "253-863-1800"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "27D22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA193WA",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0187491",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "6193EA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL OWCP",
            "identifier": "608116400",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807016200",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9055989",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442068",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pierce County FPD 22",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pierce County FPD 22",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Swing Dimartini, MS, LAC
• Ariana Nicole Dixon, # MHCA.MC.61321123
• Sarah Marie Donovan, RN
• Maya Drangsholt, DMD
• Nga Anh Duong, DMD
• Debra Ann Eastman, RPH
• Ecologic Dentistry PLLC
• Chad A. Edwards, PT
• Michael Andrew Egbert, PT
• Linda Elias, PHARMD

• Land Ambulance in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.