Active NPI
Audrey H Lee
- Non-emergency Medical Transport (VAN)
- Courtland, VA
National Provider Identifier
1013440619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- T61509489
- Practice address
- 28264 Southampton Pkwy
Courtland, VA 23837-2125 - Phone
- (757) 742-6081
- Fax
- (757) 742-6111
- NPI assigned
- Apr 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | T61509489 | VA | Primary |
Addresses
Primary practice location
28264 Southampton Pkwy
Courtland, VA 23837-2125
Mailing address
28264 Southampton Pkwy
Courtland, VA 23837-2125
Phone (757) 742-6081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T61509489 | VA | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1013440619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28264 SOUTHAMPTON PKWY",
"city": "COURTLAND",
"state": "VA",
"postal_code": "238372125",
"telephone_number": "757-742-6081",
"fax_number": "757-742-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28264 SOUTHAMPTON PKWY",
"city": "COURTLAND",
"state": "VA",
"postal_code": "238372125",
"telephone_number": "757-742-6081",
"fax_number": "757-742-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "AUDREY",
"middle_name": "H",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-10",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "VA",
"license": "T61509489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Courtland, VA
- Savannah Francis
- Monique Tamara Goodman, CCC-SLP
- Andrea Hall-Leonard, MA
- Takeda Hinton
- Keisha Thomas Kline, MA, BCBA, LBA
- Legacy Professional Nursing Care LLC
- Loc Medical Tranport LLC
- Medical Facilities of America Xliii (Courtland Health & Rehabilitation Center)
- Medstar Ambulance Service, Inc.
- Mrs. Mary's Loving Arms Home Health Care LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.