Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jerome Tyrrell Jerome , EMT

Emergency Medical Technician, Basic • Omak, WA

Active NPI 1649117474 Individual Practitioner Male Practitioner
Practice location in NPPES

913 Koala Dr
Omak, WA 988419576

Call 5096634602 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

913 Koala Dr

Omak, WA 988419576

Telephone 5096634602
Organization at the Same NPPES Address or Phone
Lifeline Ambulance, Inc. Facility NPI 1881684132

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Omak and Washington

1 active clinicians are listed under Emergency Medical Technician, Basic with a practice address in Omak, WA (134 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-30
Emergency Medical Technician, Basic Primary Specialty

NUCC Taxonomy Code: 146N00000X

License # reported to NPPES WA EMS.ES.70111053

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Career & Practice History

NPI enumerated April 30, 2026.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from May 2026 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1649117474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2026
Last Update: April 30, 2026
Sole Proprietor: No

Mailing Address

12310 Village View Dr

Leavenworth, WA 988269169

Phone: 5098811123

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.