Active NPI
Layla Ali
- Contractor
- Green Bay, WI
National Provider Identifier
1053082479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 529 S. Jefferson St. Sut #107
Green Bay, WI 54301-5430 - Phone
- (612) 296-2798
- NPI assigned
- Sep 24, 2021
- Last updated
- Sep 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | NU | Primary |
Addresses
Primary practice location
529 S. Jefferson St. Sut #107
Green Bay, WI 54301-5430
Mailing address
529 S. Jefferson St. Sut #107
Green Bay, WI 54301
Phone (612) 296-2798
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | option1transportation.com | ||
| Direct Messaging Address | option_one@outlook.com |
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 |
|---|---|---|---|
| Option 1 Transportation, Inc | Current | Accepting new patients |
Locations
529 S Jefferson St
Ste 107
Green Bay, WI 54301
Phone (612) 296-2798
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Non-emergency Medical Transport (VAN)
- Green Bay, WI
- NPI 1518347822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1053082479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 S. JEFFERSON ST. SUT #107",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "54301",
"telephone_number": "612-296-2798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 S. JEFFERSON ST. SUT #107",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543015430",
"telephone_number": "612-296-2798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "LAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-24",
"last_updated": "2021-09-24",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "option1transportation.com",
"affiliation": "N",
"address_1": "529 S. JEFFERSON ST. SUT #107",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543015430",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "option_one@outlook.com",
"affiliation": "N",
"address_1": "529 S. JEFFERSON ST. SUT #107",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543015430",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.