Organization Active NPI

B2B Med-Trans

  • Non-emergency Medical Transport (VAN)
  • La Vergne, TN
National Provider Identifier
1346602299
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
B2B MED-TRANS
Practice address
108 Mary Joe Martin Dr
La Vergne, TN 37086-5264
Phone
(615) 707-5828
NPI assigned
Mar 22, 2016
Last updated
Mar 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Biniam Sereke Habte
Title
Ceo
Phone
(615) 707-5828

Specialties & licenses 1

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

Addresses

Primary practice location

108 Mary Joe Martin Dr
La Vergne, TN 37086-5264

Mailing address

108 Mary Joe Martin Dr
La Vergne, TN 37086-5264
Phone (615) 707-5828

Other identifiers 2

IdentifierTypeStateIssuer
81-1889072MedicaidTN
81-1889072OtherTNTENNCARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1346602299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MARY JOE MARTIN DR",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370865264",
            "telephone_number": "615-707-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MARY JOE MARTIN DR",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370865264",
            "telephone_number": "615-707-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B2B MED-TRANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "HABTE",
        "authorized_official_first_name": "BINIAM",
        "authorized_official_middle_name": "SEREKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-707-5828"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81-1889072",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE",
            "identifier": "81-1889072",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vergne, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.