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JEROME TYRRELL JEROME IV EMT
NPI 1649117474
Emergency Medical Technician, Basic in Omak, WA

Active since April 30, 2026

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jerome Tyrrell Jerome Iv Emt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEROME TYRRELL JEROME IV EMT (NPI 1649117474) is an individual emergency medical technician, basic provider in Omak, Washington, licensed in Washington (EMS.ES.70111053) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1649117474
Entity TypeIndividualMale
Primary Taxonomy146N00000X
Provider Legal NameJEROME TYRRELL JEROME IVCredential: EMT
Location Address913 KOALA DROmak, WA 98841-9576
Mailing Address12310 Village View DrLeavenworth, WA 98826-9169 · (509) 881-1123
Phone(509) 663-4602
Sole ProprietorNo
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
✔ NPI 1649117474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
License✔ Licensed in WA · EMS.ES.70111053
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
913 KOALA DR, Omak, WA 98841
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerome Jerome's NPI number?

The NPI number for Jerome Jerome is 1649117474. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Where is Jerome Jerome located?

Jerome Jerome practices at 913 Koala Dr, Omak, WA 98841. The listed phone number is (509) 663-4602.

What is Jerome Jerome's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Basic with taxonomy code 146N00000X.

When was this NPI record last updated?

The NPPES record for Jerome Jerome was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.