Dereje A Kifle

Primary specialty

TaxiTaxonomy code 344600000X

License

3600100766098 Issued in FL

Practice address

1249 Maple Dr
Eglin Afb, FL 32542-1446

Phone

(850) 814-3998

NPI assigned

Jan 17, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dee Transportation,Inc Dba Dee Transportation

  • Non-emergency Medical Transport (VAN)
  • Eglin Afb, FL
  • NPI 1801421607
  NPD Authorized official

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1184254112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 MAPLE DR",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421446",
            "telephone_number": "850-814-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 MAPLE DR",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421446",
            "telephone_number": "850-814-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIFLE",
        "first_name": "DEREJE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "FL",
            "license": "3600100766098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kestraunda Kelly, FNP
• Ngoc Kelsch, DENTAL HYGIENIST
• Andrea G. Kern, RDH
• Abigail Kiesow, MD
• Caleb Kiesow, MD
• Jonah R Kincaid
• Scott Alexander King, M.D.
• Jamie Lynn Krassow, MD
• Sean David Krieger, DO
• Adam Andrew Kuipers, D.D.S.

• Taxi in Eglin Afb, FL
• Providers in Eglin Afb, FL by specialty
• Taxi in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.