Active NPI
Latavia Randolph
- Non-emergency Medical Transport (VAN)
- Prichard, AL
National Provider Identifier
1194288811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 2703 Beverly P Washington St
Prichard, AL 36613-3449 - Phone
- (251) 458-3190
- NPI assigned
- Apr 9, 2019
- Last updated
- May 31, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | AL | Primary | |
| Driver | 172A00000X | NU |
Addresses
Primary practice location
2703 Beverly P Washington St
Prichard, AL 36613-3449
Mailing address
2703 Beverly P Washington St
Prichard, AL 36613-3449
Phone (251) 458-3190
Other names 1
- Net Runs LLC
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Net Runs LLC | Non-Emergency Medical Transport (Van) | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1194288811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 BEVERLY P WASHINGTON ST",
"city": "PRICHARD",
"state": "AL",
"postal_code": "366133449",
"telephone_number": "251-458-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 BEVERLY P WASHINGTON ST",
"city": "PRICHARD",
"state": "AL",
"postal_code": "366133449",
"telephone_number": "251-458-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "LATAVIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-09",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "AL",
"license": null,
"primary": true
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NET",
"last_name": "RUNS LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Prichard, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.