Revival Trans

Primary specialty

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

License

190683 Issued in TN

Legal business name

REVIVAL TRANS

Practice address

3401 Country Hill Rd
Antioch, TN 37013-1017

Phone

(615) 598-6255

NPI assigned

Mar 2, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Dixon Hattaway IINPI 1477913523

Title

Owner

Phone

(615) 598-6255

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.

• Stephen Hattaway II

  • Non-emergency Medical Transport (VAN)
  • Antioch, TN
  • NPI 1477913523
  NPD Authorized official

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1720448889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 COUNTRY HILL RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131017",
            "telephone_number": "615-598-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 COUNTRY HILL RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131017",
            "telephone_number": "615-598-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL TRANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2023-09-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "HATTAWAY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DIXON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-598-6255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": "190683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Reed, FNP
• Paige A Reese, OD
• Rehab Care
• Terisa Reimschisel, OTR/L
• Results-Ast JV, LLC
• Deleca Latrice Reynolds-Barnes
• Markial T Ribbins
• Amanda Nicole Riccio
• Ashley McMahan Rich, PHARM.D.
• Tremayne L Richard, DDS

• Non-emergency Medical Transport (VAN) in Antioch, TN
• Providers in Antioch, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.