Organization Active NPI

Suite Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Suffolk, VA
National Provider Identifier
1760108930
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on Oct 18, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1962007740MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address candicetdoulgas@outlook.com Direct

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.