NPIMap

Organization Active NPI

Simple Transport

  • Private Vehicle
  • Shiprock, NM
National Provider Identifier
1457698995
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
D00249013 Issued in AZ
Legal business name
SIMPLE TRANSPORT
Practice address
Mesa Farm Road 1St Wash
Shiprock, NM 87420-2196
Phone
(505) 368-3911
Fax
(505) 368-3914
NPI assigned
Jan 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Beatrice Redfether
Title
Owner
Phone
(505) 368-3911

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X D00249013 AZ
Private Vehicle 347C00000X D00249013 AZ Primary

Addresses

Primary practice location

Mesa Farm Road 1St Wash
Shiprock, NM 87420-2196

Mailing address

PO Box 2196
Shiprock, NM 87420-2196
Phone (505) 368-3911

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1457698995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2196",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874202196",
            "telephone_number": "505-368-3911",
            "fax_number": "505-368-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MESA FARM ROAD 1ST WASH",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874202196",
            "telephone_number": "505-368-3911",
            "fax_number": "505-368-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "REDFETHER",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-368-3911"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "D00249013",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "AZ",
            "license": "D00249013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiprock, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.