NPIMap

Organization Active NPI

Road Runner Shuttle, LLC

  • Non-emergency Medical Transport (VAN)
  • Idaho Falls, ID
National Provider Identifier
1750827770
Registry record updated Jan 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ROAD RUNNER SHUTTLE, LLC
Practice address
310 Moonlite Dr
Apt 25
Idaho Falls, ID 83402-2359
Phone
(208) 359-1100
NPI assigned
Jan 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2017

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

Authorized official

Name
Jessica Stephens
Title
Owner
Phone
(208) 359-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

310 Moonlite Dr
Apt 25
Idaho Falls, ID 83402-2359

Mailing address

310 Moonlite Dr
Apt 25
Idaho Falls, ID 83402-2359

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484352000000",
    "number": "1750827770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MOONLITE DR",
            "address_2": "APT 25",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834022359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MOONLITE DR",
            "address_2": "APT 25",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834022359",
            "telephone_number": "208-359-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAD RUNNER SHUTTLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-14",
        "last_updated": "2017-01-14",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-359-1100"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; 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.