Redtail Transport

Primary specialty

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

License

02388827 Issued in AZ

Legal business name

REDTAIL TRANSPORT

Practice address

Navajo RT 12 MM29
Fort Defiance, AZ 86504

Phone

(505) 713-7417

NPI assigned

Mar 4, 2014

Organization subpart

No

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

Authorized official

Name

Donovan Begaye

Title

Owner

Phone

(505) 713-7417

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1801211552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVAJO RT 12 MM29",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "505-713-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAJO RT 12 MM29",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "505-713-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDTAIL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "BEGAYE",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-713-7417"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "02388827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID",
            "identifier": "D02388827",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rawls, RN
• Derek Andrew Ray, DPT
• Dorothy Kathleen Ray, DPT
• Emma Jeanette Cooreman Reasoner, OTD
• Santosh Bandugula Reddy, MD
• Rebecca Reeve, PHARMD
• Ann Weiler Reeves
• Kevin David Reeves, PT
• Vincent A Regan, RRT, RCP
• Louella M Regis, MD

• Non-emergency Medical Transport (VAN) in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.