Active NPI
Quavanne Jamar Lundy
- Transportation Broker
- Emporia, VA
National Provider Identifier
1801579172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- Practice address
- 401 Maryland Ave Apt C
Emporia, VA 23847-1571 - Phone
- (804) 735-3278
- NPI assigned
- Aug 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | Primary |
Addresses
Primary practice location
401 Maryland Ave Apt C
Emporia, VA 23847-1571
Mailing address
401 Maryland Ave Apt C
Emporia, VA 23847-1571
Phone (804) 735-3278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1801579172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 MARYLAND AVE APT C",
"city": "EMPORIA",
"state": "VA",
"postal_code": "238471571",
"telephone_number": "804-735-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MARYLAND AVE APT C",
"city": "EMPORIA",
"state": "VA",
"postal_code": "238471571",
"telephone_number": "804-735-3278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDY",
"first_name": "QUAVANNE",
"middle_name": "JAMAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-11",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emporia, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.