J&J Ambulette Services

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

83 Issued in VA

Legal business name

J&J AMBULETTE SERVICES

Practice address

#12266 Prince George Dr
Disputanta, VA 23842-2384

Phone

(804) 861-1266

Fax

(804) 861-6221

NPI assigned

Jul 13, 2017

Last updated

Jul 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yolanda Mezil Thomas

Title

Administrator / Opration Manager

Phone

(804) 704-3569

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1417479239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12266 PRINCE GEORGE DR",
            "city": "DISPUTANTA",
            "state": "VA",
            "postal_code": "238424404",
            "telephone_number": "804-892-0643",
            "fax_number": "804-861-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#12266 PRINCE GEORGE DR",
            "city": "DISPUTANTA",
            "state": "VA",
            "postal_code": "238422384",
            "telephone_number": "804-861-1266",
            "fax_number": "804-861-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&J AMBULETTE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "MEZIL THOMAS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR / OPRATION MANAGER",
        "authorized_official_telephone_number": "804-704-3569"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "83",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BERKSHIRE HATHAWAY",
            "identifier": "47RWS25508302",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kay G East
• Sarah Foote
• Jasmine Danisha Gant
• Grateful Beginnings LLC
• J&J Ambulette Service, LLC
• Jennifer White
• Diona Jones
• Dominique King
• Tony Roosevelt King, M.D.
• Cory Andrew Lane, M.S. CCC-SLP

• Non-emergency Medical Transport (VAN) in Disputanta, VA
• Providers in Disputanta, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.