Individual provider Active NPI

Danielle Latrice Upshaw-Barnes

  • Driver
  • Chester, VA
National Provider Identifier
1023614450
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
T64242793 Issued in VA
Practice address
10467 Centralia Station Rd
Chester, VA 23831-1147
Phone
(804) 243-1034
Fax
(844) 364-8887
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X T64242793 VA Primary

Addresses

Primary practice location

10467 Centralia Station Rd
Chester, VA 23831-1147

Mailing address

PO Box 8916
Richmond, VA 23225-0616
Phone (804) 243-1034

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@pnets.org Direct

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

LicenseStateTypeSpecialty
T64242793VAMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
A Prophet Non Emergency Transportation Service LLC CurrentSince Dec 13, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1023614450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8916",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232250616",
            "telephone_number": "804-243-1034",
            "fax_number": "844-364-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10467 CENTRALIA STATION RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311147",
            "telephone_number": "804-243-1034",
            "fax_number": "844-364-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPSHAW-BARNES",
        "first_name": "DANIELLE",
        "middle_name": "LATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "VA",
            "license": "T64242793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pnets.org",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "business",
            "address_1": "10467 Centralia Station Rd",
            "city": "Chester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238311147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.