Active NPI
Olivia Queen Koukoui
- Transportation Network Company
- Upper Marlboro, MD
National Provider Identifier
1043886575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Network Company
- Practice address
- 155 Crain Hwy
Upper Marlboro, MD 20774-8804 - Phone
- (301) 408-8970
- NPI assigned
- Jun 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Transportation Network Company | 342000000X | Primary |
Addresses
Primary practice location
155 Crain Hwy
Upper Marlboro, MD 20774-8804
Mailing address
155 Crain Hwy
Upper Marlboro, MD 20774-8804
Phone (301) 408-8970
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We Care Services, Corp | Non-Emergency Medical Transport (Van) | Current | Accepting new patients |
| We Care Services, Corp | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Upper Marlboro, MD
- NPI 1679237929
-
- Case Management Agency
- District Heights, MD
- NPI 1700773124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705708800000",
"number": "1043886575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 CRAIN HWY",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207748804",
"telephone_number": "301-408-8970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CRAIN HWY",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207748804",
"telephone_number": "301-408-8970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUKOUI",
"first_name": "OLIVIA",
"middle_name": "QUEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-03",
"last_updated": "2024-01-20",
"certification_date": "2024-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.