The Blue Van LLC

Primary specialty

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

Legal business name

THE BLUE VAN LLC

Practice address

1529 Emerald Bay Blvd
Whites Creek, TN 37189-9296

Phone

(615) 838-6789

NPI assigned

Oct 26, 2022

Last updated

Oct 26, 2022By 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

Stephanie Wynn

Title

Owner

Phone

(615) 838-6789

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1336866631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 EMERALD BAY BLVD",
            "city": "WHITES CREEK",
            "state": "TN",
            "postal_code": "371899296",
            "telephone_number": "615-838-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 EMERALD BAY BLVD",
            "city": "WHITES CREEK",
            "state": "TN",
            "postal_code": "371899296",
            "telephone_number": "615-838-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BLUE VAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-838-6789"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metro Health Department
• Mobile Express LLC,
• Briera Nix
• Op Whites Creek Inc. (Briley Nursing and Rehabilitation Center)
• Roslyn K Pope, FNP-BC, PMHNP-BC
• Caroline Harber Vantrease, MOT
• Eboni Nicole Webb, PSYD, HSP
• Whites Creek Healthcare LLC (Grace Healthcare of Whites Creek)
• Whites Creek Operating Group LLC

• Non-emergency Medical Transport (VAN) in Whites Creek, TN
• Providers in Whites Creek, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.