Active NPI
Adreanna Harris
- Private Vehicle
- Dayton, OH
National Provider Identifier
1700657129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- TM917335
- Practice address
- 5834 Shady Cove LN
Dayton, OH 45426-2118 - Phone
- (254) 535-7562
- NPI assigned
- Jan 15, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | TM917335 | OH | |
| Private Vehicle | 347C00000X | TM917335 | OH | Primary |
Addresses
Primary practice location
5834 Shady Cove LN
Dayton, OH 45426-2118
Mailing address
5834 Shady Cove LN
Dayton, OH 45426-2118
Phone (254) 535-7562
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 |
|---|---|---|---|
| TM917335 | OH | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1700657129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5834 SHADY COVE LN",
"city": "DAYTON",
"state": "OH",
"postal_code": "454262118",
"telephone_number": "254-535-7562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5834 SHADY COVE LN",
"city": "DAYTON",
"state": "OH",
"postal_code": "454262118",
"telephone_number": "254-535-7562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ADREANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "OH",
"license": "TM917335",
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "OH",
"license": "TM917335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.