Individual provider Active NPI

Trendalen McBride

  • Non-emergency Medical Transport (VAN)
  • Muskegon, MI
National Provider Identifier
1285193086
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
M216802488770 Issued in MI
Practice address
1638 Dyson St
Muskegon, MI 49442-5722
Phone
(231) 719-5881
Fax
(231) 766-7590
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X M216802488770 MI Primary

Addresses

Primary practice location

1638 Dyson St
Muskegon, MI 49442-5722

Mailing address

1638 Dyson St
Muskegon, MI 49442-5722
Phone (231) 719-5881

Other identifiers 1

IdentifierTypeStateIssuer
0OtherMINON EMERGENCY TRANSPORTATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL rightnowtransportation20192gmail.com Direct

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

State licenses

LicenseStateTypeSpecialty
M216802488770MIMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1285193086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 DYSON ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425722",
            "telephone_number": "231-719-5881",
            "fax_number": "231-766-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 DYSON ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425722",
            "telephone_number": "231-719-5881",
            "fax_number": "231-766-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "TRENDALEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MI",
            "license": "M216802488770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rightnowtransportation20192gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1638 Dyson St",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494425722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.