Active NPI
Joshua Rion Stepanov
- Driver
- Shelbyville, TN
National Provider Identifier
1073219028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 133523600
- Practice address
- 915 Shelbyview Dr
Shelbyville, TN 37160-4338 - Phone
- (931) 639-8394
- NPI assigned
- Feb 1, 2023
- Reactivated
- Feb 1, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | 133523600 | TN | Primary |
Addresses
Primary practice location
915 Shelbyview Dr
Shelbyville, TN 37160-4338
Mailing address
915 Shelbyview Dr
Shelbyville, TN 37160-4338
Phone (931) 639-8394
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
| License | State | Type | Specialty |
|---|---|---|---|
| 133523600 | TN | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reese Transport, LLC | Current | Accepting new patients |
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 and National Provider Directory roles.
-
dba Reese Transport
- Non-emergency Medical Transport (VAN)
- Shelbyville, TN
- NPI 1821852518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1073219028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 SHELBYVIEW DR",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "371604338",
"telephone_number": "931-639-8394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 SHELBYVIEW DR",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "371604338",
"telephone_number": "931-639-8394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPANOV",
"first_name": "JOSHUA",
"middle_name": "RION",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-01",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"deactivation_date": "2024-01-06",
"reactivation_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "TN",
"license": "133523600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.