Individual provider Active NPI

Layla Ali

  • Contractor
  • Green Bay, WI
National Provider Identifier
1053082479
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Option 1 Transportation, Inc CurrentSince Sep 23, 2024 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.

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.

Verify at the official NPI Registry.