Ett Transportation LLC

Primary specialty

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

Legal business name

ETT TRANSPORTATION LLC

Practice address

5465 N Morgan St Apt 501
Alexandria, VA 22312-3328

Phone

(571) 668-6121

Fax

(571) 281-4722

NPI assigned

Mar 31, 2023

Organization subpart

No

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

Authorized official

Name

Eden Dawit ShumbuloNPI 1619639333

Title

Administrator/ Shareholder

Phone

(571) 668-6121

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eden D Shumbulo, NP

  • Family Nurse Practitioner
  • Alexandria, VA
  • NPI 1619639333
  NPD Authorized official

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1679278501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 N MORGAN ST APT 501",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223123328",
            "telephone_number": "571-668-6121",
            "fax_number": "571-281-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 N MORGAN ST APT 501",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223123328",
            "telephone_number": "571-668-6121",
            "fax_number": "571-281-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETT TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "SHUMBULO",
        "authorized_official_first_name": "EDEN",
        "authorized_official_middle_name": "DAWIT",
        "authorized_official_title_or_position": "ADMINISTRATOR/ SHAREHOLDER",
        "authorized_official_telephone_number": "571-668-6121"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Alexandria, VA
• Providers in Alexandria, 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 31, 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.