Tyrell White

Primary specialty

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

Practice address

102 S Interstate Dr Ste 18
Sikeston, MO 63801-8641

Phone

(573) 481-5473

NPI assigned

Aug 17, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Rells Logistics LLC

  • Non-emergency Medical Transport (VAN)
  • Southaven, MS
  • NPI 1164191458
  NPD Authorized official

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1699441006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S INTERSTATE DR STE 18",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638018641",
            "telephone_number": "573-481-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S INTERSTATE DR STE 18",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638018641",
            "telephone_number": "573-481-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TYRELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85-3551579",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rellslogistics2@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8869 Centre St Ste B2",
            "city": "Southaven",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386711725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James D West, MS,CCC-A,FAAA
• Westfield Nursing Center, Inc.
• Christopher White, PHARMD
• Jessica Christine White
• Thelma Louise White
• Alexis Wills
• Erica Leigh Wilson, APRN, FNP-BC
• Abigail Winch
• Winchester Chiropractic & Wellness PC
• Leslie Susanne Winchester, D.C.

• Non-emergency Medical Transport (VAN) in Sikeston, MO
• Providers in Sikeston, MO by specialty
• Non-emergency Medical Transport (VAN) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.