Active NPI
Latasha Blue
- Driver
- Grifton, NC
National Provider Identifier
1366086282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 25441176
- Practice address
- 313 Olive Branch Blvd
Grifton, NC 28530-8584 - Phone
- (252) 531-3100
- NPI assigned
- Nov 4, 2019
- Last updated
- Nov 4, 2019
- 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 | 25441176 | NC | Primary |
Addresses
Primary practice location
313 Olive Branch Blvd
Grifton, NC 28530-8584
Mailing address
PO Box 31032
Greenville, NC 27833-1032
Phone (252) 414-0999
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 |
|---|---|---|---|
| 25441176 | NC | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solid Transport Solutions Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Non-emergency Medical Transport (VAN)
- Grifton, NC
- NPI 1700495504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1366086282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31032",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278331032",
"telephone_number": "252-414-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 OLIVE BRANCH BLVD",
"city": "GRIFTON",
"state": "NC",
"postal_code": "285308584",
"telephone_number": "252-531-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUE",
"first_name": "LATASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-04",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NC",
"license": "25441176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grifton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.