Family Faith Medical Transport

Primary specialty

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

Legal business name

FAMILY FAITH MEDICAL TRANSPORT

Practice address

1501 W Aztec Ave TRLR 57
Gallup, NM 87301-6663

Phone

(505) 879-6971

Fax

(505) 488-2495

NPI assigned

Feb 8, 2017

Last updated

Feb 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lakerra L KeeNPI 1326412198

Title

Owner Ceo

Phone

(505) 879-6971

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lakerra Kee

  • Non-emergency Medical Transport (VAN)
  • Gallup, NM
  • NPI 1326412198
  NPD (past) Authorized official

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1083152235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W AZTEC AVE TRLR 57",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016663",
            "telephone_number": "505-879-6971",
            "fax_number": "505-488-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W AZTEC AVE TRLR 57",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016663",
            "telephone_number": "505-879-6971",
            "fax_number": "505-488-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FAITH MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "KEE",
        "authorized_official_first_name": "LAKERRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "505-879-6971"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Evans
• Eye Associates of New Mexico LTD (Eye Associates of New Mexico)
• Eyes to You, Inc (Perfect Vision)
• Eyes to You, Inc. (Bishop Optical)
• Deborah R Fabian, MD
• Family Faith Medical Transport LLC
• Family Medicine Associates
• Marla Farrell
• Jennifer Michelle Fast Wolf
• Maria Christina Fast Wolf

• Non-emergency Medical Transport (VAN) in Gallup, NM
• Providers in Gallup, NM by specialty
• Non-emergency Medical Transport (VAN) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.