Organization Active NPI

Tibbie Rae'S Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Colorado Springs, CO
National Provider Identifier
1033812508
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on Mar 23, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.