Organization Active NPI

Good Shepherd Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Woodbridge, VA
National Provider Identifier
1003330119
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GOOD SHEPHERD TRANSPORTATION LLC
Practice address
14818 Darbydale Ave
Woodbridge, VA 22193-2764
Phone
(571) 575-3412
NPI assigned
Jul 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Owura Amponsem
Title
Owner
Phone
(571) 575-3412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

14818 Darbydale Ave
Woodbridge, VA 22193-2764

Mailing address

14818 Darbydale Ave
Woodbridge, VA 22193-2764
Phone (571) 575-3412

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003330119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14818 DARBYDALE AVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932764",
            "telephone_number": "571-575-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14818 DARBYDALE AVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932764",
            "telephone_number": "571-575-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AMPONSEM",
        "authorized_official_first_name": "OWURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-575-3412"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.