Individual provider Active NPI

Alison Dolores Burkhardt, TRANSPORTATION AF

  • Non-emergency Medical Transport (VAN)
  • South Hill, VA
National Provider Identifier
1821622499
Registry record updated Feb 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
BL004595 Issued in VA
Practice address
921 Pace Dr
South Hill, VA 23970-1307
Phone
(434) 247-0769
NPI assigned
Feb 23, 2020
Last updated
Feb 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X BL004595 VA Primary

Addresses

Primary practice location

921 Pace Dr
South Hill, VA 23970-1307

Mailing address

921 Pace Dr
South Hill, VA 23970-1307
Phone (434) 247-0769

Other identifiers 1

IdentifierTypeStateIssuer
BL004595OtherVABUSINESS LICENSE

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

State licenses

LicenseStateTypeSpecialty
BL004595VAMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1582416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582416000000",
    "number": "1821622499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 PACE DR",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701307",
            "telephone_number": "434-247-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 PACE DR",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701307",
            "telephone_number": "434-247-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHARDT",
        "first_name": "ALISON",
        "middle_name": "DOLORES",
        "name_prefix": "Ms.",
        "credential": "TRANSPORTATION AF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-23",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "BL004595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "BL004595",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2020; 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.