Active NPI
Chiquita White-Thomason
- Driver
- Memphis, TN
National Provider Identifier
1316567274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 200001553
- Practice address
- 2500 Mount Moriah Rd Ste H212
Memphis, TN 38115-1523 - Phone
- (901) 666-0810
- NPI assigned
- Apr 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 200001553 | TN | Primary |
Addresses
Primary practice location
2500 Mount Moriah Rd Ste H212
Memphis, TN 38115-1523
Mailing address
2500 Mount Moriah Rd Apt 104
Memphis, TN 38115-1523
Phone (901) 666-0810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84-5020072 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | C&Cnemt@gmail.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 200001553 | TN | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C&C Non Emergency Medical Transportation | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Transportation Network Company
- Memphis, TN
- NPI 1184395022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587427200000",
"number": "1316567274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 MOUNT MORIAH RD APT 104",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381151523",
"telephone_number": "901-666-0810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 MOUNT MORIAH RD STE H212",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381151523",
"telephone_number": "901-666-0810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE-THOMASON",
"first_name": "CHIQUITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-21",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "TN",
"license": "200001553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84-5020072",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "C&Cnemt@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2500 Mount Moriah Rd Ste H212",
"city": "Memphis",
"state": "TN",
"country_code": "US",
"postal_code": "381151523",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.