NPIMap

Organization Active NPI

Nan Transportation LLC

  • Transportation Network Company
  • Midlothian, VA
National Provider Identifier
1013885664
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
Legal business name
NAN TRANSPORTATION LLC
Practice address
5510 Windy Ridge Ter
Midlothian, VA 23112-6341
Phone
(804) 912-5578
NPI assigned
Oct 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Dr. Kalkidan Shimelis Desta, REV. DR.
Title
Owner/Administrator
Phone
(804) 912-5578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X Primary

Addresses

Primary practice location

5510 Windy Ridge Ter
Midlothian, VA 23112-6341

Mailing address

5510 Windy Ridge Ter
Midlothian, VA 23112-6341
Phone (804) 912-5578

National Provider Directory

National Provider Directory
Tax ID family
Nan Transportation LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1013885664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 WINDY RIDGE TER",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126341",
            "telephone_number": "804-912-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 WINDY RIDGE TER",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126341",
            "telephone_number": "804-912-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAN TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-26",
        "status": "A",
        "authorized_official_last_name": "DESTA",
        "authorized_official_first_name": "KALKIDAN",
        "authorized_official_middle_name": "SHIMELIS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "804-912-5578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "REV. DR."
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.