Organization Active NPI

Fly Glide Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Brodnax, VA
National Provider Identifier
1336952118
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
FLY GLIDE TRANSPORTATION, LLC
Practice address
1491 Browns Creek Rd
Brodnax, VA 23920-3119
Phone
(434) 247-2009
NPI assigned
Jan 27, 2025
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Aliyah Jones
Title
Member/Manager
Phone
(434) 247-2009

Specialties & licenses 1

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

Addresses

Primary practice location

1491 Browns Creek Rd
Brodnax, VA 23920-3119

Mailing address

1491 Browns Creek Rd
Brodnax, VA 23920-3119

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1336952118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 BROWNS CREEK RD",
            "city": "BRODNAX",
            "state": "VA",
            "postal_code": "239203119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 BROWNS CREEK RD",
            "city": "BRODNAX",
            "state": "VA",
            "postal_code": "239203119",
            "telephone_number": "434-247-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLY GLIDE TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ALIYAH",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "434-247-2009"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brodnax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.