Organization Active NPI

Prestigious Wellness Transportation

  • Non-emergency Medical Transport (VAN)
  • Memphis, TN
National Provider Identifier
1265265953
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PRESTIGIOUS WELLNESS TRANSPORTATION
Practice address
1779 Kirby Pkwy # 1215
Memphis, TN 38138-0631
Phone
(901) 584-6565
NPI assigned
Aug 20, 2024
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Renida Suez TalleyNPI 1861244980
Title
Director of Operations
Phone
(901) 584-6565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1779 Kirby Pkwy # 1215
Memphis, TN 38138-0631

Mailing address

1779 Kirby Pkwy # 1215
Memphis, TN 38138-0631
Phone (901) 584-6565

National Provider Directory

National Provider Directory
Tax ID family
Prestigious Wellness Transportation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1779 Kirby Pkwy
#1215
Memphis, TN 38138
Phone (901) 584-6565

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1265265953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 KIRBY PKWY # 1215",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381380631",
            "telephone_number": "901-584-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 KIRBY PKWY # 1215",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381380631",
            "telephone_number": "901-584-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGIOUS WELLNESS TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "RENIDA",
        "authorized_official_middle_name": "SUEZ",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "901-584-6565"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "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 Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.