NPIMap

Organization Active NPI

Creekside Transportation

  • Transportation Broker
  • Ponchatoula, LA
National Provider Identifier
1043893282
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
CREEKSIDE TRANSPORTATION
Practice address
625 Tupelo Dr
Ponchatoula, LA 70454-3940
Phone
(504) 402-1518
NPI assigned
May 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Sholitha Nunnery, OWNERNPI 1386153450
Title
Owner
Phone
(985) 602-6672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

625 Tupelo Dr
Ponchatoula, LA 70454-3940

Mailing address

625 Tupelo Dr
Ponchatoula, LA 70454-3940
Phone (504) 402-1518

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1043893282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 TUPELO DR",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543940",
            "telephone_number": "504-402-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 TUPELO DR",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543940",
            "telephone_number": "504-402-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "NUNNERY",
        "authorized_official_first_name": "SHOLITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-602-6672",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.