Organization Active NPI

Misty Mountain Mobility, LLC.

  • Non-emergency Medical Transport (VAN)
  • Brookings, OR
National Provider Identifier
1154295194
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MISTY MOUNTAIN MOBILITY, LLC.
Practice address
96381 Foxglove Way
Brookings, OR 97415-9771
Phone
(530) 403-8652
NPI assigned
Oct 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Sara Louise HillNPI 1528949195
Title
Owner
Phone
(530) 403-8652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

96381 Foxglove Way
Brookings, OR 97415-9771

Mailing address

96381 Foxglove Way
Brookings, OR 97415-9771
Phone (530) 403-8652

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1154295194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96381 FOXGLOVE WAY",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159771",
            "telephone_number": "530-403-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96381 FOXGLOVE WAY",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159771",
            "telephone_number": "530-403-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTY MOUNTAIN MOBILITY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-403-8652"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.