NPIMap

Organization Active NPI

Elite Transpo

Doing business as Etn

  • Private Vehicle
  • Falls Church, VA
National Provider Identifier
1790221422
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
08128654 Issued in VA
Legal business name
ELITE TRANSPO
Doing business as
Etn
Practice address
2019 Burfoot St
Falls Church, VA 22043-1346
Phone
(703) 639-7954
Fax
(815) 642-4231
NPI assigned
Jan 19, 2017
Last updated
Jan 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Mr. Drae J Watkins
Title
Ceo
Phone
(703) 639-7954

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 08128654 VA
Private Vehicle 347C00000X 08128654 VA Primary
Transportation Broker 347E00000X 08128654 VA
Air Carrier 344800000X 08128654 VA

Addresses

Primary practice location

2019 Burfoot St
Falls Church, VA 22043-1346

Mailing address

2019 Burfoot St
Falls Church, VA 22043-1346
Phone (703) 639-7954

Other names 1

  • ETN Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1790221422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 BURFOOT ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431346",
            "telephone_number": "703-639-7954",
            "fax_number": "815-642-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 BURFOOT ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431346",
            "telephone_number": "703-639-7954",
            "fax_number": "815-642-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE TRANSPO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "DRAE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-639-7954",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "08128654",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "VA",
            "license": "08128654",
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "VA",
            "license": "08128654",
            "primary": false
        },
        {
            "code": "344800000X",
            "taxonomy_group": "",
            "desc": "Air Carrier",
            "state": "VA",
            "license": "08128654",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ETN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.