Organization Active NPI

Green Birdd Freight LLC

  • Secured Medical Transport (VAN)
  • Southlake, TX
National Provider Identifier
1477338903
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.