Active NPI
Lucky Queen Transportation LLC
- Private Vehicle
- Austin, TX
National Provider Identifier
1851986566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | queentransportationllc@gmail.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI 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.