Organization Active NPI

Amazing Grace Transport Service

  • Non-emergency Medical Transport (VAN)
  • Virginia Beach, VA
National Provider Identifier
1306401476
Registry record updated May 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
AMAZING GRACE TRANSPORT SERVICE
Practice address
5293 Pirata PL
Virginia Beach, VA 23462-1980
Phone
(757) 524-5859
NPI assigned
May 4, 2019
Last updated
May 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2019

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

Authorized official

Name
Donnett Stacey-Ann Tyndale
Title
Owner
Phone
(757) 774-1759

Specialties & licenses 1

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

Addresses

Primary practice location

5293 Pirata PL
Virginia Beach, VA 23462-1980

Mailing address

5293 Pirata PL
Virginia Beach, VA 23462-1980
Phone (757) 524-5859

Other identifiers 1

IdentifierTypeStateIssuer
343900000XOtherVATRANSPORTATION SERVICE NON EMERGENCY MEDICAL TRANSPORT VAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556928000000",
    "number": "1306401476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5293 PIRATA PL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621980",
            "telephone_number": "757-524-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5293 PIRATA PL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621980",
            "telephone_number": "757-524-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE TRANSPORT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-04",
        "last_updated": "2019-05-04",
        "status": "A",
        "authorized_official_last_name": "TYNDALE",
        "authorized_official_first_name": "DONNETT",
        "authorized_official_middle_name": "STACEY-ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-774-1759"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRANSPORTATION SERVICE NON EMERGENCY MEDICAL TRANSPORT VAN",
            "identifier": "343900000X",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.