Organization Active NPI

Angel Rides Inc

  • Non-emergency Medical Transport (VAN)
  • Fredericksburg, VA
National Provider Identifier
1235596784
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ANGEL RIDES INC
Practice address
300 Central Rd Ste 200
Fredericksburg, VA 22401-8008
Phone
(540) 373-5540
Fax
(540) 709-7460
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Mrs. Tanya L Ison, EMT
Title
Owner
Phone
(540) 373-5540

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

300 Central Rd Ste 200
Fredericksburg, VA 22401-8008

Mailing address

300 Central Rd Ste 200
Fredericksburg, VA 22401-8008
Phone (540) 373-5540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240208004640 VA Part B Supplier - Ambulance Service Supplier 8820431562 Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

607 Emancipation Hwy
Ste 201
Fredericksburg, VA 22401
Phone (540) 300-7004

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1235596784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTRAL RD STE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018008",
            "telephone_number": "540-373-5540",
            "fax_number": "540-709-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTRAL RD STE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018008",
            "telephone_number": "540-373-5540",
            "fax_number": "540-709-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL RIDES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "ISON",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-373-5540",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.