Active NPI
Suite Transportation, LLC
- Non-emergency Medical Transport (VAN)
- Suffolk, VA
National Provider Identifier
1760108930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- SUITE TRANSPORTATION, LLC
- Practice address
- 116 Independence CT
Suffolk, VA 23434-2369 - Phone
- (757) 208-3699
- NPI assigned
- Oct 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Candice Tanya Douglas, LPC
- Title
- Owner
- Phone
- (757) 208-3699
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
116 Independence CT
Suffolk, VA 23434-2369
Mailing address
PO Box 2113
Virginia Beach, VA 23450-2113
Phone (757) 208-3699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962007740 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | candicetdoulgas@outlook.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666051200000",
"number": "1760108930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2113",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234502113",
"telephone_number": "757-208-3699",
"fax_number": "757-208-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 INDEPENDENCE CT",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234342369",
"telephone_number": "757-208-3699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUITE TRANSPORTATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-07-07",
"status": "A",
"authorized_official_last_name": "DOUGLAS",
"authorized_official_first_name": "CANDICE",
"authorized_official_middle_name": "TANYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-208-3699",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962007740",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "candicetdoulgas@outlook.com",
"affiliation": "N",
"endpointDescription": "outlook",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "116 Independence Ct",
"city": "Suffolk",
"state": "VA",
"country_code": "US",
"postal_code": "234342369",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.