Shirley A Mickleberry

Primary specialty

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

License

MC2400347SK Issued in VA

Practice address

403 Stockton St Apt 4217
Richmond, VA 23224-4357

Phone

(804) 464-7388

NPI assigned

Nov 4, 2024

Last updated

Nov 4, 2024By 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

Other names 1

• Antoine L Henderson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Ash Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Richmond, VA
  • NPI 1043033533
  NPD Authorized official

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1831912492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 STOCKTON ST APT 4217",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232244357",
            "telephone_number": "804-464-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 STOCKTON ST APT 4217",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232244357",
            "telephone_number": "804-464-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKLEBERRY",
        "first_name": "SHIRLEY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "MC2400347SK",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTOINE",
            "last_name": "HENDERSON",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• George Michos, DDS
• Katherine Anne Michos, PT, DPT
• Pamela A Mickell, MD
• Melody Mickens
• Ashley C Mickle, LCSW
• Mid Atlantic Laboratory Services, LLC (Midalabs)
• Mid Atlantic Vascular Holding, LLC
• Mid-Atlantic Kidney Center (Mid-Atlantic Kidney Centers)
• Midatlantic Spine Specialists P C
• Middleton Gee Community Group Home, LLC

• Non-emergency Medical Transport (VAN) in Richmond, VA
• Providers in Richmond, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.