Organization Active NPI

Fast Track EMS LLC

  • Land Ambulance
  • Chesapeake, VA
National Provider Identifier
1366807646
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Sep 18, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20160511002385 VA Part B Supplier - Ambulance Service Supplier 0143519389 Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.