Organization Active NPI

Lucky Queen Transportation LLC

  • Private Vehicle
  • Austin, TX
National Provider Identifier
1851986566
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
LUCKY QUEEN TRANSPORTATION LLC
Practice address
4404 E Oltorf St Apt 2101
Austin, TX 78741-6050
Phone
(254) 804-8058
Fax
(512) 727-1847
NPI assigned
Mar 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Ms. Angelina Marie Brown
Title
Owner
Phone
(254) 804-8058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

4404 E Oltorf St Apt 2101
Austin, TX 78741-6050

Mailing address

4404 E Oltorf St Apt 2101
Austin, TX 78741-6050
Phone (254) 804-8058

Other practice location 1

4404 E Oltorf St Apt 2101
Austin, TX 78741-6050
Phone (254) 804-8058

Other names 1

  • Lucky Queen Transportation Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL queentransportationllc@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1851986566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 E OLTORF ST APT 2101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416050",
            "telephone_number": "254-804-8058",
            "fax_number": "512-727-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 E OLTORF ST APT 2101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416050",
            "telephone_number": "254-804-8058",
            "fax_number": "512-727-1847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4404 E Oltorf St Apt 2101",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787416050",
            "country_code": "US",
            "telephone_number": "254-804-8058",
            "fax_number": "512-727-1847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUCKY QUEEN TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-804-8058",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "queentransportationllc@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4404 E Oltorf St Apt 2101",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787416050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lucky Queen Transportation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.