Organization Active NPI

Anderson Access Services LLC

  • Non-emergency Medical Transport (VAN)
  • Beaumont, TX
National Provider Identifier
1770245482
Registry record updated Oct 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ANDERSON ACCESS SERVICES LLC
Practice address
2190 Wildflower LN
Beaumont, TX 77713-9234
Phone
(409) 678-4077
NPI assigned
Oct 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2021

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

Authorized official

Name
Mr. Jermaine Dewayne
Title
Owner
Phone
(409) 678-4077

Specialties & licenses 1

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

Addresses

Primary practice location

2190 Wildflower LN
Beaumont, TX 77713-9234

Mailing address

2190 Wildflower LN
Beaumont, TX 77713-9234
Phone (409) 678-4077

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": "1633824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633824000000",
    "number": "1770245482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 WILDFLOWER LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777139234",
            "telephone_number": "409-678-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 WILDFLOWER LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777139234",
            "telephone_number": "409-678-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON ACCESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-10",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A",
        "authorized_official_last_name": "DEWAYNE",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-678-4077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; 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.