Deauntae Flanagan

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Practice address

4165 Old Dowlen Rd
Beaumont, TX 77706-6608

Phone

(757) 806-8218

NPI assigned

Apr 12, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1780181040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 OLD DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066608",
            "telephone_number": "757-806-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 OLD DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066608",
            "telephone_number": "757-806-8218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1565 Ridgewood Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego, CA 92139",
            "state": "Ca",
            "postal_code": "92139",
            "country_code": "UM",
            "telephone_number": "757-806-8218",
            "country_name": "United States Minor Outlying Islands",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "DEAUNTAE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demeatrice Nicole Fisher
• Bridgett Fisk, NP
• Fitt Medical Clinic PLLC
• Jessica Fitzgerald, OTR/L
• Deborah Fitzhenry, MS, CCC-SLP
• Mallory Shea Cooper Flanagan, FNP-C
• Jillian Beth Fleisher, D.O.
• Michael Fleming, M.D.
• Amber Fling, ACNP
• Everardo Flores Jr., M.D.

• Transportation Broker in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Transportation Broker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.