Active NPI
Tibbie Rae'S Transportation LLC
- Non-emergency Medical Transport (VAN)
- Colorado Springs, CO
National Provider Identifier
1033812508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- TIBBIE RAE'S TRANSPORTATION LLC
- Practice address
- 4325 Kaolin CT
Colorado Springs, CO 80938-9630 - Phone
- (719) 217-0840
- NPI assigned
- Mar 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Smith
- Title
- Ceo
- Phone
- (719) 217-0840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
4325 Kaolin CT
Colorado Springs, CO 80938-9630
Mailing address
6050 Stetson Hills Blvd Ste 304
Colorado Springs, CO 80923-3562
Phone (719) 217-0840
National Provider Directory
National Provider DirectoryLocations
6050 Stetson Hills Blvd
Colorado Springs, CO 80923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679529600000",
"number": "1033812508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6050 STETSON HILLS BLVD STE 304",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809233562",
"telephone_number": "719-217-0840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 KAOLIN CT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809389630",
"telephone_number": "719-217-0840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIBBIE RAE'S TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-23",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "719-217-0840"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.