Jaquavia B Matthews

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

713 Highland Dr
Laurinburg, NC 28352-4261

Phone

(910) 384-4631

NPI assigned

Aug 29, 2022

Last updated

Aug 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• B N N Logistics LLC

  • Non-emergency Medical Transport (VAN)
  • Laurinburg, NC
  • NPI 1669192852
  NPD Authorized official

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1790404119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 HIGHLAND DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524261",
            "telephone_number": "910-384-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 HIGHLAND DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524261",
            "telephone_number": "910-384-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JAQUAVIA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Menar Smith Malloy
• Gervonia Manning
• Belinda Yvette Martin, NCCPSS, AAS,
• Shelby N Martin, MS, ATC
• Therese Massri, MD
• Wilbur Allen Matthews
• Charne McClurkin, DMD
• Destiny Ann McCormick
• Shiquita Lashane McCrae
• Scott D. McDannold, CRNA

• Non-emergency Medical Transport (VAN) in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.