Providence EMS, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

PROVIDENCE EMS, LLC

Practice address

1283 Breedlove St
Memphis, TN 38107-1640

Phone

(901) 550-9100

Fax

(901) 794-7877

NPI assigned

Jun 10, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Nia K. Traylor

Title

Owner

Phone

(901) 550-9100

Specialties & licenses 1

Addresses

Practitioners 1

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

• Linnie Reed Traylor, M.D

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1497840540
  NPD (past)

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1508151275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 MOUNT MORIAH RD",
            "address_2": "SUITE 18C",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151607",
            "telephone_number": "901-550-9100",
            "fax_number": "901-794-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 BREEDLOVE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381071640",
            "telephone_number": "901-550-9100",
            "fax_number": "901-794-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE EMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "NIA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-550-9100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prospero Health Partners, P.C.
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• Anastazia Sophia Prost, MD
• Prosthetic Orthotic & Pedorthic Associates, Inc.
• Dallas Jordan Davis Provence, NP
• Providence Home and Community Living Service
• Provider Medical Supplies
• Katelyn Provine
• Casey Provo, MS, RDN, LDN
• Dana Lee Prude, RN

• Ambulance in Memphis, TN
• Providers in Memphis, TN by specialty
• Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.