Iesha Boulware
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Lorton, VA
NPI 1174368658 · NPPES record last updated Jun 27, 2024
Key facts
- NPI
- 1174368658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Practice address
- 9414 Lakeland Fells LN
Lorton, VA 22079-5016 - Phone
- (703) 371-7456
- NPI assigned
- Jun 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A-List Medical Transportation LLC | Non-Emergency Medical Transport (Van) | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
9414 Lakeland Fells LN
Lorton, VA 22079-5016
Mailing address
9414 Lakeland Fells LN
Lorton, VA 22079-5016
Phone (703) 371-7456
Other providers in Lorton, VA
- Bio-Medical Applications of Virginia, Inc.
- Blackstone Mary Ivy Healthcare LLC
- Blossom Fatima Home Healthcare Services
- Bode Cellmark Forensics, Inc.
- Caitlin M Bohnert
- Daniel Patrick Braun
- Princessshamecca Myethel Brent
- Brighthope Homecare, LLC
- Britepath ABA Therapy LLC
- Bonnie Jean Brooks
All providers in Lorton, VA · Non-emergency Medical Transport (VAN) in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.