Organization Active NPI

Easy Access FL LLC

  • Non-emergency Medical Transport (VAN)
  • St Petersburg, FL
National Provider Identifier
1538904651
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EASY ACCESS FL LLC
Practice address
7901 4TH St N Ste 8411
St Petersburg, FL 33702-4305
Phone
(813) 460-5035
NPI assigned
Jun 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Authorized official

Name
Beruk Edris
Title
Manager
Phone
(813) 460-5035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

7901 4TH St N Ste 8411
St Petersburg, FL 33702-4305

Mailing address

7901 4TH St N Ste 8411
St Petersburg, FL 33702-4305

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719619200000",
    "number": "1538904651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 8411",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 8411",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "813-460-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY ACCESS FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "EDRIS",
        "authorized_official_first_name": "BERUK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-460-5035"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.