Triad Mobility

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRIAD MOBILITY

Practice address

7917 NC 67 Hwy
East Bend, NC 27018-8055

Phone

(336) 699-3959

Fax

(336) 699-4139

NPI assigned

Jan 14, 2011

Last updated

Jan 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kendra Widner

Title

Partner

Phone

(336) 699-3959

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1780989186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7917 NC 67 HWY",
            "city": "EAST BEND",
            "state": "NC",
            "postal_code": "270188055",
            "telephone_number": "336-699-3959",
            "fax_number": "336-699-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7917 NC 67 HWY",
            "city": "EAST BEND",
            "state": "NC",
            "postal_code": "270188055",
            "telephone_number": "336-699-3959",
            "fax_number": "336-699-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "WIDNER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "336-699-3959"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeda Charlise Lee, LCSW-A
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• Katherine Marie Medlin
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• Kayla Noelle-Chambers Strickler, RN
• Susan H. Ward, LCMHC
• Yadkin Vision Center O.D., PLLC
• Yadkin Vision Center, OD PA

• Durable Medical Equipment & Medical Supplies in East Bend, NC
• Providers in East Bend, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.