Legendary Transist LLC

Primary specialty

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

Legal business name

LEGENDARY TRANSIST LLC

Practice address

1934 Longleaf LN
Greenville, NC 27858-9049

Phone

(252) 916-1169

NPI assigned

Nov 2, 2021

Organization subpart

No

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

Authorized official

Name

Shanice N GibbsNPI 1407462799

Title

Owner

Phone

(252) 916-1169

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shanice Gibbs

  • Driver
  • Greenville, NC
  • NPI 1407462799
  NPD Authorized official

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1487319794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 LONGLEAF LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589049",
            "telephone_number": "252-916-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 LONGLEAF LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589049",
            "telephone_number": "252-916-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDARY TRANSIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "SHANICE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-916-1169"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "legendary.transist@gmail.com",
            "affiliation": "N",
            "address_1": "1934 Longleaf Ln",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278589049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Van Dyke Lee, OT
• Tiffany Mills Lee, MSN, FNP-BC, CNN
• William C. Lee Jr.
• David Black Leeser, MD
• Legacy Healthcare Services, Inc.
• Amanda C Leggett, MSW, LCSW
• Amber Varner Leggett, CRNA
• Jenna Leggett, MS, LPC, LCAS
• Jerry Curtis Leggett, PA-C
• Jessica Ruge Leggett, D.P.T.

• Non-emergency Medical Transport (VAN) in Greenville, NC
• Providers in Greenville, 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 Nov 2, 2021; 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.