Active NPI
Jacklen Shaffer
- Transportation Network Company
- Houston, TX
National Provider Identifier
1740995174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Network Company
- Practice address
- 4317 Stassen St Unit B
Houston, TX 70051 - Phone
- (612) 290-9616
- NPI assigned
- Jan 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Secured Medical Transport (VAN) | 343800000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X | |||
| Transportation Network Company | 342000000X | Primary |
Addresses
Primary practice location
4317 Stassen St Unit B
Houston, TX 70051
Mailing address
2700 Cullen Blvd Unit 841204
Pearland, TX 77584-1617
Phone (612) 290-9616
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ladyjtransport.com | Lady J Transport Services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1740995174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 CULLEN BLVD UNIT 841204",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775841617",
"telephone_number": "612-290-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4317 STASSEN ST UNIT B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "70051",
"telephone_number": "612-290-9616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "JACKLEN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-19",
"last_updated": "2023-01-19",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ladyjtransport.com",
"affiliation": "Y",
"affiliationName": "Lady J Transport Services",
"address_1": "2700 Cullen Blvd Unit 841204",
"city": "Pearland",
"state": "TX",
"country_code": "US",
"postal_code": "775841617",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.