Tamra McIntosh

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

1025413 Issued in CA

Practice address

180 Promenade Cir Ste 300
Sacramento, CA 95834-2952

Phone

(916) 299-6141

NPI assigned

Apr 9, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Tamra Land Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• KTL Transportation Services, LLC

  • Non-emergency Medical Transport (VAN)
  • Sacramento, CA
  • NPI 1609364074
  Authorized official Same address or phone

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1275030157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 HOLDREGE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351800",
            "telephone_number": "916-956-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PROMENADE CIR STE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342952",
            "telephone_number": "916-299-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "TAMRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "1025413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMRA",
            "last_name": "LAND",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amaiah Le McIntosh
• Corrine Brook McIntosh, MFT
• Emma Joanne McIntosh, MS, CCC-SLP
• Namadhjlah Renah McIntosh, PSY.D
• Scott McIntosh
• Jeffrey John McInturff, MD
• Laurel McIntyre, RD
• Tashica M McIntyre
• Kiana McKaughen
• Hannah McKay

• Non-emergency Medical Transport (VAN) in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.