Individual provider Active NPI

Patricia Herndon

  • Non-emergency Medical Transport (VAN)
  • Livonia, MI
National Provider Identifier
1053664102
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
46-0748116 Issued in MI
Practice address
33150 Schoolcraft Rd
Suite 203
Livonia, MI 48150-1646
Phone
(248) 581-6674
Fax
(734) 943-6023
NPI assigned
Oct 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 46-0748116 MI Primary

Addresses

Primary practice location

33150 Schoolcraft Rd
Suite 203
Livonia, MI 48150-1646

Mailing address

33150 Schoolcraft Rd
Suite 203
Livonia, MI 48150-1646
Phone (248) 581-6674

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

State licenses

LicenseStateTypeSpecialty
46-0748116MIMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest DME Specialists Current Accepting new patients
Nalani Needs DME LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1053664102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33150 SCHOOLCRAFT RD",
            "address_2": "SUITE 203",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501646",
            "telephone_number": "248-581-6674",
            "fax_number": "734-943-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33150 SCHOOLCRAFT RD",
            "address_2": "SUITE 203",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501646",
            "telephone_number": "248-581-6674",
            "fax_number": "734-943-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MI",
            "license": "46-0748116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.