Organization Active NPI

Mercyme Transportation

  • Secured Medical Transport (VAN)
  • Wylie, TX
National Provider Identifier
1548031099
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
MERCYME TRANSPORTATION
Practice address
518 Rock Rose LN
Wylie, TX 75098-1966
Phone
(720) 789-1284
NPI assigned
Jan 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Mihret Worku Kebede
Title
Manager
Phone
(720) 789-1284

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Primary
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X

Addresses

Primary practice location

518 Rock Rose LN
Wylie, TX 75098-1966

Mailing address

518 Rock Rose LN
Wylie, TX 75098-1966
Phone (720) 789-1284

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1548031099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 ROCK ROSE LN",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750981966",
            "telephone_number": "720-789-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 ROCK ROSE LN",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750981966",
            "telephone_number": "720-789-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCYME TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "KEBEDE",
        "authorized_official_first_name": "MIHRET",
        "authorized_official_middle_name": "WORKU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "720-789-1284"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.