Destiny Medical Transport

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

DESTINY MEDICAL TRANSPORT

Practice address

400 Nicholas CT
Apt F
Chesapeake, VA 23320-3978

Phone

(757) 469-6416

NPI assigned

Jul 30, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Carrie E Hailes

Title

Owner

Phone

(757) 469-6416

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311984000000",
    "number": "1366720963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NICHOLAS CT",
            "address_2": "APT F",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203978",
            "telephone_number": "757-469-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NICHOLAS CT",
            "address_2": "APT F",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203978",
            "telephone_number": "757-469-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-30",
        "last_updated": "2011-07-30",
        "status": "A",
        "authorized_official_last_name": "HAILES",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-469-6416",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Private Vehicle in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2011; 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.