NPIMap

Organization Active NPI

A-List Medical Transportation LLC

Doing business as A-List Transportation

  • Non-emergency Medical Transport (VAN)
  • Lorton, VA
National Provider Identifier
1760219372
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
A-LIST MEDICAL TRANSPORTATION LLC
Doing business as
A-List Transportation
Practice address
9414 Lakeland Fells LN
Lorton, VA 22079-5016
Phone
(703) 672-0454
NPI assigned
Sep 17, 2024
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Iesha BoulwareNPI 1174368658
Title
Owner
Phone
(703) 672-0454

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 1

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

Addresses

Primary practice location

9414 Lakeland Fells LN
Lorton, VA 22079-5016

Mailing address

9414 Lakeland Fells LN
Lorton, VA 22079-5016
Phone (703) 672-0454

Other names 1

  • A-List Transportation Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1760219372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 LAKELAND FELLS LN",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220795016",
            "telephone_number": "703-672-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 LAKELAND FELLS LN",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220795016",
            "telephone_number": "703-672-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-LIST MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "BOULWARE",
        "authorized_official_first_name": "IESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-672-0454"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A-List Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.