Active NPI
Amanda Scalzo, TRANSPORTATION
- Transportation Broker
- Cypress, TX
National Provider Identifier
1548736382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- Practice address
- 19031 S Whimely Dr
Cypress, TX 77433 - Phone
- (281) 509-2255
- NPI assigned
- Oct 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | Primary |
Addresses
Primary practice location
19031 S Whimely Dr
Cypress, TX 77433
Mailing address
19031 S Whimely Dr
Cypress, TX 77433
Phone (281) 509-2255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-4129290 | Medicaid | TX |
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": "1539907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1548736382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19031 S WHIMELY DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "77433",
"telephone_number": "281-509-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19031 S WHIMELY DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "77433",
"telephone_number": "281-509-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALZO",
"first_name": "AMANDA",
"credential": "TRANSPORTATION",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-19",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-4129290",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.