Individual provider Active NPI

Trizah Gitau

  • Non-emergency Medical Transport (VAN)
  • Crestview Hills, KY
National Provider Identifier
1760874119
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
G13-473-491 Issued in KY
Practice address
2905 University Dr
Crestview Hills, KY 41017-2516
Phone
(858) 466-3729
NPI assigned
Feb 23, 2015
Last updated
Feb 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X G13-473-491 KY Primary
Driver 172A00000X G13-473-491 KY

Addresses

Primary practice location

2905 University Dr
Crestview Hills, KY 41017-2516

Mailing address

2905 University Dr
Crestview Hills, KY 41017-2516

Other identifiers 1

IdentifierTypeStateIssuer
G13-473-491MedicaidKY

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

State licenses

LicenseStateTypeSpecialty
G13-473-491KYMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1760874119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 UNIVERSITY DR",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410172516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 UNIVERSITY DR",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410172516",
            "telephone_number": "858-466-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITAU",
        "first_name": "TRIZAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "KY",
            "license": "G13-473-491",
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "KY",
            "license": "G13-473-491",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G13-473-491",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.