Active NPI
Alice Lea
- Non-emergency Medical Transport (VAN)
- Little Rock, AR
National Provider Identifier
1629424825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 153230
- Practice address
- 4710 Sam Peck Rd
Apt 2168
Little Rock, AR 72223-5069 - Phone
- (501) 920-5083
- NPI assigned
- May 6, 2016
- 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 |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 153230 | AR | Primary |
Addresses
Primary practice location
4710 Sam Peck Rd
Apt 2168
Little Rock, AR 72223-5069
Mailing address
4710 Sam Peck Rd
Apt 2168
Little Rock, AR 72223-5069
Phone (501) 920-5083
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153230 | AR | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1629424825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 SAM PECK RD",
"address_2": "APT 2168",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722235069",
"telephone_number": "501-920-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 SAM PECK RD",
"address_2": "APT 2168",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722235069",
"telephone_number": "501-920-5083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEA",
"first_name": "ALICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "AR",
"license": "153230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.