Organization Active NPI

Independent Jobs 1, LLC

  • Non-emergency Medical Transport (VAN)
  • Picayune, MS
National Provider Identifier
1740854975
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
INDEPENDENT JOBS 1, LLC
Practice address
715 S Haugh Ave
Picayune, MS 39466-5470
Phone
(769) 926-8969
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Mrs. Daiwana D CertainNPI 1578261095
Title
Owner
Phone
(601) 347-2928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

715 S Haugh Ave
Picayune, MS 39466-5470

Mailing address

715 S Haugh Ave
G 53
Picayune, MS 39466-5470
Phone (769) 926-8969

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL independentjobs1@gmail.com Other

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1740854975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S HAUGH AVE",
            "address_2": "G 53",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665470",
            "telephone_number": "769-926-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S HAUGH AVE",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665470",
            "telephone_number": "769-926-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT JOBS 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "CERTAIN",
        "authorized_official_first_name": "DAIWANA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-347-2928",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "independentjobs1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "independentjobs1@gmail.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "713 Charlotte Dr",
            "city": "Picayune",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394664903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.