Organization Active NPI

Nick Medical Transport LLC

  • Land Ambulance
  • Alexandria, VA
National Provider Identifier
1831659739
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NICK MEDICAL TRANSPORT LLC
Practice address
1727 King St Ste 300
Alexandria, VA 22314-2761
Phone
(240) 401-7778
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Stanley Nicholas
Title
Director of Operations
Phone
(240) 401-7778

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

1727 King St Ste 300
Alexandria, VA 22314-2761

Mailing address

1727 King St Ste 300
Alexandria, VA 22314-2761
Phone (240) 401-7778

National Provider Directory

National Provider Directory

Locations

1727 King St
Ste 300
Alexandria, VA 22314
Phone (202) 335-7151

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1831659739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 KING ST STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142761",
            "telephone_number": "240-401-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 KING ST STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142761",
            "telephone_number": "240-401-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "240-401-7778"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.