Active NPI
Green Birdd Freight LLC
- Secured Medical Transport (VAN)
- Southlake, TX
National Provider Identifier
1477338903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Secured Medical Transport (VAN)
- Legal business name
- GREEN BIRDD FREIGHT LLC
- Practice address
- 550 Reserve St Ste 190-79
Southlake, TX 76092-1546 - Phone
- (469) 556-4856
- NPI assigned
- Aug 31, 2023
- Last updated
- Aug 31, 2023
- 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
- Donesh Luckey
- Title
- Ceo
- Phone
- (469) 556-4856
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | ||
| Secured Medical Transport (VAN) | 343800000X | NU | Primary | |
| Non-emergency Medical Transport (VAN) | 343900000X | NU | ||
| Private Vehicle | 347C00000X | NU | ||
| Transportation Broker | 347E00000X | NU |
Addresses
Primary practice location
550 Reserve St Ste 190-79
Southlake, TX 76092-1546
Mailing address
550 Reserve St Ste 190-79
Southlake, TX 76092-1546
Other names 1
- GREEN BIRDD FREIGHT LLC
National Provider Directory
National Provider DirectoryLocations
550 Reserve St
Ste 19079
Southlake, TX 76092
Phone (469) 556-4856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693440000000",
"number": "1477338903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 RESERVE ST STE 190-79",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760921546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 RESERVE ST STE 190-79",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760921546",
"telephone_number": "469-556-4856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN BIRDD FREIGHT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-31",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A",
"authorized_official_last_name": "LUCKEY",
"authorized_official_first_name": "DONESH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "469-556-4856"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GREEN BIRDD FREIGHT LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.