K Elite Transport

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

K ELITE TRANSPORT

Practice address

17114 Magnolia Dr
Hazel Crest, IL 60429-1023

Phone

(312) 918-3786

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Katari Fenise Jackson

Title

Owner

Phone

(312) 918-3786

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: katarijackson@kelitetransport.net

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636761600000",
    "number": "1063183143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8612 S SAGINAW AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172422",
            "telephone_number": "708-765-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17114 MAGNOLIA DR",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291023",
            "telephone_number": "312-918-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K ELITE TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KATARI",
        "authorized_official_middle_name": "FENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-918-3786",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144809203",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Katarijackson@kelitetransport.net",
            "affiliation": "N",
            "address_1": "17114 Magnolia Dr",
            "city": "Hazel Crest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604291023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amelia M Jeyapalan, MD
• Patricia Johnsen, RN
• Allison L Jones, MD
• Wendy Marie Jorjorian, P.T.
• Caitlin C Julian, AGACNP-BC
• K S Shah MD SC
• James Kamper
• Kandasce Hair Professionals Inc
• Christopher Theodore Kardasis, M.D.
• Karriem'S Developmental Services

• Non-emergency Medical Transport (VAN) in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.