Jerome Tyrrell Jerome IV, EMT

Basic Emergency Medical Technician · Omak, WA

Individual Active NPI

NPI number 1649117474

Practice location

913 Koala Dr
Omak, WA 98841-9576
Phone
(509) 663-4602

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NPI record

NPI
1649117474
Entity type
Individual (Type 1)
Enumeration date
April 30, 2026
Last updated
April 30, 2026
Certified
April 30, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Basic Emergency Medical Technician Primary 146N00000X EMS.ES.70111053 WA

Mailing address

12310 Village View Dr
Leavenworth, WA 98826-9169
Phone
(509) 881-1123

About Jerome Jerome

Jerome Tyrrell Jerome IV, EMT is a healthcare provider registered in the NPI registry with the primary taxonomy Basic Emergency Medical Technician (code 146N00000X). The practice location is 913 Koala Dr, Omak, WA 98841-9576. The NPI number 1649117474 was assigned on April 30, 2026 and the record was last updated on April 30, 2026.

Jerome Jerome lists a license in the registry: #EMS.ES.70111053 (WA) for Basic Emergency Medical Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerome Tyrrell Jerome IV, EMT?

The NPI number is 1649117474.

What is the phone number of Jerome Jerome?

The phone number listed for the practice location is (509) 663-4602.

Where is Jerome Jerome located?

913 Koala Dr, Omak, WA 98841-9576.

What is the taxonomy code for Jerome Jerome?

The primary taxonomy code is 146N00000X – Basic Emergency Medical Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.