Fort Liberty Elite Xpress N.E.M.T. LLC

Primary specialty

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

Legal business name

FORT LIBERTY ELITE XPRESS N.E.M.T. LLC

Practice address

4017 Whisper Wood Dr
Fayetteville, NC 28306-7442

Phone

(567) 801-6225

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Crystal Echols

Title

Ceo

Phone

(567) 801-6225

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1447944251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 WHISPER WOOD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067442",
            "telephone_number": "567-801-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 WHISPER WOOD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067442",
            "telephone_number": "567-801-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LIBERTY ELITE XPRESS N.E.M.T. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "ECHOLS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "567-801-6225"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Rebecca Forgach, PA-C
• Forged by Fire Counseling Services, LLC (Mary Lynn Campbell)
• Shalita Shanta Forrest, RN
• Angela Ruff Forsyth, D.D.S.
• Suckia Forsythe, LCSWA
• Marcia E Fort, AU.D., CCC-A
• Brianna Brynithia Forte
• Oliver Fortea, PT
• Chad M Fortin, PT, DPT
• Fortitude Counseling Associates, PLLC

• Non-emergency Medical Transport (VAN) in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.