Elite Medical Transport, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ELITE MEDICAL TRANSPORT, LLC

Practice address

1700 S Silver Ave
Deming, NM 88030-5927

Phone

(575) 544-4241

Fax

(915) 542-0706

NPI assigned

Dec 12, 2006

Last updated

Feb 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leeann Phillips

Title

Chief Administrative Officer

Phone

(915) 542-1194

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1306906839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 929",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880080929",
            "telephone_number": "915-542-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S SILVER AVE",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880305927",
            "telephone_number": "575-544-4241",
            "fax_number": "915-542-0706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Sandyridge Dr",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882203377",
            "country_code": "US",
            "telephone_number": "575-544-4241",
            "fax_number": "915-542-0706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 Hummingbird Rd",
            "address_purpose": "LOCATION",
            "city": "Portales",
            "state": "NM",
            "postal_code": "881307181",
            "country_code": "US",
            "telephone_number": "575-544-4241",
            "fax_number": "915-542-0706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "915-542-1194"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3493298",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75686732",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Donigan, CRNP
• Araceli Duran, LSAA
• Irene Eagle
• Angela Edwards, D.P.M
• Heather Marie Edwards
• Enchanted Desert Emergency Physicians LLC
• Jovanna Encinias
• Patricia Anne Erickson, LPCC
• Marina Fedotowsky, CFNP
• Julio Cesar Fermin, PMHNP-BC

• Land Ambulance in Deming, NM
• Providers in Deming, NM by specialty
• Land Ambulance in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.