Angelia Pegram Booker

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

2534 Issued in VA

Practice address

1623 Bexley Dr
Hopewell, VA 23860-6606

Phone

(804) 712-4681

NPI assigned

Mar 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Booker'S Services, LLC

  • Non-emergency Medical Transport (VAN)
  • Hopewell, VA
  • NPI 1659874048
  NPD (past) Authorized official

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

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520640000000",
    "number": "1649773250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 BEXLEY DR",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238606606",
            "telephone_number": "804-712-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 BEXLEY DR",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238606606",
            "telephone_number": "804-712-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "ANGELIA",
        "middle_name": "PEGRAM",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-10",
        "last_updated": "2018-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "2534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Berrios
• Mohammad Bhuiyan
• Robert Bies, M.S., CF-SLP
• Birth Through Life Interventions Supports & Services LLC
• Blended Whole LLC
• Shannon Ivori Booker, BSN, RN
• Booker'S Services, LLC
• Gretchen E Borzelleca, PHYSICAL THERAPIST
• Andreas M Brandt, M.D.
• Melissa Brewer

• Non-emergency Medical Transport (VAN) in Hopewell, VA
• Providers in Hopewell, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.