Blossom Medical Transportation LLC

Primary specialty

TaxiTaxonomy code 344600000X

Legal business name

BLOSSOM MEDICAL TRANSPORTATION LLC

Practice address

8009 Whitehall Executive Center Dr Apt 4105
Charlotte, NC 28273-7892

Phone

(585) 789-0609

NPI assigned

Jan 18, 2023

Organization subpart

No

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

Authorized official

Name

Anndrea Alexander-Howard

Title

Owner

Phone

(585) 789-0609

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1558076059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8009 WHITEHALL EXECUTIVE CENTER DR APT 4105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282737892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 WHITEHALL EXECUTIVE CENTER DR APT 4105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282737892",
            "telephone_number": "585-789-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER-HOWARD",
        "authorized_official_first_name": "ANNDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-789-0609"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40400181",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@blossommedicaltransportation.com",
            "affiliation": "N",
            "address_1": "8009 Whitehall Executive Center Dr Apt 4105",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282737892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.