Individual provider Active NPI

Keshea Persaud

  • Non-emergency Medical Transport (VAN)
  • Altamonte Springs, FL
National Provider Identifier
1528786019
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
P623-500-89-916-0 Issued in FL
Practice address
671 Altamira Cir Apt 308
Altamonte Springs, FL 32701-4029
Phone
(347) 530-7886
Fax
(321) 972-1308
NPI assigned
Aug 19, 2022
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X FL
Non-emergency Medical Transport (VAN) 343900000X P623-500-89-916-0 FL Primary

Addresses

Primary practice location

671 Altamira Cir Apt 308
Altamonte Springs, FL 32701-4029

Mailing address

671 Altamira Cir Apt 308
Altamonte Springs, FL 32701-4029
Phone (347) 530-7886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1528786019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 ALTAMIRA CIR APT 308",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014029",
            "telephone_number": "347-530-7886",
            "fax_number": "321-972-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 ALTAMIRA CIR APT 308",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014029",
            "telephone_number": "347-530-7886",
            "fax_number": "321-972-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "KESHEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "P623-500-89-916-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.