Organization Active NPI

Reliable Transportation of Tennessee

  • Non-emergency Medical Transport (VAN)
  • Cordova, TN
National Provider Identifier
1629346168
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
RELIABLE TRANSPORTATION OF TENNESSEE
Practice address
9659 Grays Lake CV
Cordova, TN 38018-7770
Phone
(931) 239-2112
NPI assigned
Dec 12, 2011
Last updated
Dec 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Liz A Wesson
Title
President
Phone
(931) 239-2112

Specialties & licenses 1

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

Addresses

Primary practice location

9659 Grays Lake CV
Cordova, TN 38018-7770

Mailing address

9659 Grays Lake CV
Cordova, TN 38018-7770
Phone (931) 239-2112

Other identifiers 1

IdentifierTypeStateIssuer
T000141MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1629346168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9659 GRAYS LAKE CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187770",
            "telephone_number": "931-239-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9659 GRAYS LAKE CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187770",
            "telephone_number": "931-239-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE TRANSPORTATION OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "WESSON",
        "authorized_official_first_name": "LIZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-239-2112"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T000141",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.