NPIMap

Organization Active NPI

Nan Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Sanford, NC
National Provider Identifier
1689543647
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
NAN TRANSPORTATION LLC
Practice address
1400 Pennsylvania Ave
Sanford, NC 27332-7363
Phone
(804) 912-5578
NPI assigned
Oct 30, 2025
Last updated
Jun 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Dr. Kalkidan Shimelis Desta, DR.
Title
Owner
Phone
(804) 912-5578

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary
Private Vehicle 347C00000X NU

Addresses

Primary practice location

1400 Pennsylvania Ave
Sanford, NC 27332-7363

Mailing address

1400 Pennsylvania Ave
Sanford, NC 27332-7363
Phone (804) 912-5578

National Provider Directory

National Provider Directory
Tax ID family
Nan Transportation LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1689543647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PENNSYLVANIA AVE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273327363",
            "telephone_number": "804-912-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PENNSYLVANIA AVE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273327363",
            "telephone_number": "804-912-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAN TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "DESTA",
        "authorized_official_first_name": "KALKIDAN",
        "authorized_official_middle_name": "SHIMELIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-912-5578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.