Tidewater Express Transportation, LLC

Primary specialty

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

Legal business name

TIDEWATER EXPRESS TRANSPORTATION, LLC

Practice address

2007 Jehu St
Suffolk, VA 23435-3539

Phone

(757) 639-9174

NPI assigned

Mar 13, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jariel WaltonNPI 1700356706

Title

Ceo

Phone

(757) 477-2680

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.

• Jariel Walton

  • Driver
  • Suffolk, VA
  • NPI 1700356706
  NPD Authorized official

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1083173744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 JEHU ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353539",
            "telephone_number": "757-639-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 JEHU ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353539",
            "telephone_number": "757-639-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER EXPRESS TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "JARIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-477-2680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benita Lechell Thornhill, MA, LPC
• Thrive Behavioral Consulting, LLC
• Sara Elizabeth Throckmorton, MS, LPC
• Nola Thrower
• Tidewater Anesthesia Consultants PLLC
• Tidewater Lung and Sleep Center, PLLC
• Tidewater Orthopaedic Associates Inc
• Tidewater Physical Therapy LLC
• Tidewater Physical Therapy LLC
• Tidewater Wound Care, PLC

• Non-emergency Medical Transport (VAN) in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.