Custom Medical Transportation Inc

Primary specialty

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

License

40517229D Issued in LA

Legal business name

CUSTOM MEDICAL TRANSPORTATION INC

Practice address

6701 Beckett St
Shreveport, LA 71106-3323

Phone

(318) 288-3408

NPI assigned

May 26, 2011

Last updated

May 26, 2011By 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

Mrs. Kontina Vanessa Mitchell, RN

Title

Owner/President

Phone

(318) 288-3408

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1730472473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "KEITHVILLE",
            "state": "LA",
            "postal_code": "710470007",
            "telephone_number": "318-288-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 BECKETT ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711063323",
            "telephone_number": "318-288-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM MEDICAL TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KONTINA",
        "authorized_official_middle_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "318-288-3408",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "40517229D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael S Curry, LPC, NCC
• Jessica Michelle Curtis
• Trevor Gordon Curtis
• Montrell Curvey
• Angela M Cush-John, M.D.
• CVS
• CVS
• CVT Surgeons, Inc (CVT Surgeons)
• Emily Cypher, RN
• Jennifer B Cypher, PA-C

• Non-emergency Medical Transport (VAN) in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.