Peggie Divine Transportation LLC

Primary specialty

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

Legal business name

PEGGIE DIVINE TRANSPORTATION LLC

Practice address

3756 S Broadway
Saint Louis, MO 63118-4029

Phone

(314) 319-4990

NPI assigned

Jun 10, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Willieanne Mull

Title

Owner

Phone

(314) 319-4990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1710616099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184029",
            "telephone_number": "314-319-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3756 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184029",
            "telephone_number": "314-319-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGIE DIVINE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "WILLIEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-319-4990",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Kent Peery, FNP
• Victor D Pegado, MD
• Pegasus Delivery Service LLC
• Carrie Pegg, LCSW
• Sarah Pegg
• Lindsay Marie Peglar Marsala, MD
• Graycen Pehle
• Ann Lutzeier Peick, M.D.
• Jeffrey F Peipert, MD
• Amanda Pekau, RN

• Non-emergency Medical Transport (VAN) in Saint Louis, MO
• Providers in Saint Louis, 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 Jun 10, 2022; 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.