Active NPI
Fast Track EMS LLC
- Land Ambulance
- Chesapeake, VA
National Provider Identifier
1366807646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- FAST TRACK EMS LLC
- Practice address
- 1140 Kempsville Rd
Chesapeake, VA 23320-8127 - Phone
- (757) 347-1226
- Fax
- (757) 776-0439
- NPI assigned
- Dec 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Hunter Stafford, PARAMEDIC
- Title
- Member / Owner
- Phone
- (757) 406-0809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1140 Kempsville Rd
Chesapeake, VA 23320-8127
Mailing address
1140 Kempsville Rd
Chesapeake, VA 23320-8127
Phone (757) 347-1226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160511002385 | VA | Part B Supplier - Ambulance Service Supplier | 0143519389 | Practice locations: Chesapeake, VA |
National Provider Directory
National Provider DirectoryLocations
1140 Kempsville Rd
Chesapeake, VA 23320
Phone (757) 347-1226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726617600000",
"number": "1366807646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 KEMPSVILLE RD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233208127",
"telephone_number": "757-347-1226",
"fax_number": "757-776-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 KEMPSVILLE RD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233208127",
"telephone_number": "757-347-1226",
"fax_number": "757-776-0439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAST TRACK EMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-30",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A",
"authorized_official_last_name": "STAFFORD",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "HUNTER",
"authorized_official_title_or_position": "MEMBER / OWNER",
"authorized_official_telephone_number": "757-406-0809",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PARAMEDIC"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.