Moonlight Transportation, Inc.

Primary specialty

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

Legal business name

MOONLIGHT TRANSPORTATION, INC.

Practice address

6407 Crosswinds CT
Suffolk, VA 23435-2922

Phone

(757) 374-3883

Fax

(757) 335-7673

NPI assigned

Mar 13, 2020

Last updated

Mar 13, 2020By 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

Mr. Yves Tataye

Title

Senior Partner, Cfo

Phone

(757) 374-3883

Specialties & licenses 1

Addresses

Other names 1

• MOONLIGHT TRANSPORTATION, INC. Other name

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1174159867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6407 CROSSWINDS CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352922",
            "telephone_number": "757-374-3883",
            "fax_number": "757-335-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6407 CROSSWINDS CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352922",
            "telephone_number": "757-374-3883",
            "fax_number": "757-335-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT TRANSPORTATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "TATAYE",
        "authorized_official_first_name": "YVES",
        "authorized_official_title_or_position": "SENIOR PARTNER, CFO",
        "authorized_official_telephone_number": "757-374-3883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOONLIGHT TRANSPORTATION, INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Poythress D Mitchell, LPC
• Ceria D Mizell
• Eric Moffett, DPM
• Virginia Linn Monahan, MOT, ORT/L
• Monica Woodard DDS MDS PC (Woodard Orthodontics)
• Ashley Moore Cruz, LPC
• Danielle M Moore
• Jala Moore
• Juanita Moore
• Margaret C Moore, RN

• 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, 2020; 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.