Vanguard Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

VANGUARD AMBULANCE LLC

Practice address

8417 Erle Rd Bay a
Mechanicsville, VA 23116-1507

Phone

(804) 814-9150

NPI assigned

Apr 14, 2020

Last updated

Apr 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Thomas Pepperl

Title

Owner

Phone

(804) 640-9429

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1720607369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10712 PRUETT LN",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230594554",
            "telephone_number": "804-640-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8417 ERLE RD BAY A",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161507",
            "telephone_number": "804-814-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "PEPPERL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-640-9429",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsey Highlander Uvarov, CRNA
• Stephanie Vachris, DPT, PT
• Isabel Adair Vallejos
• Amanda M Vance, NP
• Sara Vanderploeg, LCSW
• Angela Rose Vanlandingham, M.D.
• Theresa A. Vannier, M. D.
• Juan Celestino Vargas, PHARMD
• Antwon Vaughn, DMD
• Jessica Vaught, P.T.

• Land Ambulance in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.