Tatyana Uglova

Individual provider Active NPI Driver · Kansas City, MO

NPI 1013474170 · NPPES record last updated Feb 25, 2019

Key facts

NPI
1013474170
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
S116052040 (MO)
Practice address
6508 NE 44TH Ter
Kansas City, MO 64117-1583
Phone
(816) 522-1853
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
S116052040MOMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Acmedtrans LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X S116052040 MO Yes

Addresses

Primary practice location

6508 NE 44TH Ter
Kansas City, MO 64117-1583

Mailing address

6508 NE 44TH Ter
Kansas City, MO 64117-1583
Phone (816) 522-1853

Other providers in Kansas City, MO

All providers in Kansas City, MO · Driver in Missouri

Sources for this page

Verify at the official NPI Registry.