Organization Active NPI

Sertransport, LLC

  • Non-emergency Medical Transport (VAN)
  • Portsmouth, VA
National Provider Identifier
1033754387
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SERTRANSPORT, LLC
Practice address
207 Maryland Ave
Portsmouth, VA 23707-1712
Phone
(757) 751-0108
NPI assigned
Nov 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Authorized official

Name
Jovan White
Title
Owner
Phone
(757) 751-0108

Specialties & licenses 1

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

Addresses

Primary practice location

207 Maryland Ave
Portsmouth, VA 23707-1712

Mailing address

207 Maryland Ave
Portsmouth, VA 23707-1712
Phone (757) 751-0108

Other identifiers 1

IdentifierTypeStateIssuer
0001OtherVAPRIVATE TRANSPORT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1033754387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MARYLAND AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237071712",
            "telephone_number": "757-751-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MARYLAND AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237071712",
            "telephone_number": "757-751-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERTRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-751-0108"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE TRANSPORT",
            "identifier": "0001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.