Active NPI
Ty'Anna Jalese Carter
- Transportation Network Company
- Akron, OH
National Provider Identifier
1104542570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Network Company
- Practice address
- 1029 Valdes Ave
Akron, OH 44320-2635 - Phone
- (330) 701-8078
- NPI assigned
- Oct 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Transportation Network Company | 342000000X | Primary |
Addresses
Primary practice location
1029 Valdes Ave
Akron, OH 44320-2635
Mailing address
1029 Valdes Ave
Akron, OH 44320-2635
Phone (330) 701-8078
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77954378 | Medicaid | OH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1104542570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 VALDES AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443202635",
"telephone_number": "330-701-8078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 VALDES AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443202635",
"telephone_number": "330-701-8078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "TY'ANNA",
"middle_name": "JALESE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77954378",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.