Individual provider Active NPI

Reem Abdelhay

  • Transportation Network Company
  • Sierra Vista, AZ
National Provider Identifier
1861865222
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
License
4402 Issued in AZ
Practice address
2260 E Fry Blvd Ste D5
Sierra Vista, AZ 85635-2732
Phone
(602) 303-0819
NPI assigned
Nov 7, 2015
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 633480 AZ
Transportation Network Company 342000000X 4402 AZ Primary

Addresses

Primary practice location

2260 E Fry Blvd Ste D5
Sierra Vista, AZ 85635-2732

Mailing address

2260 E Fry Blvd Ste D5
Sierra Vista, AZ 85635-2732
Phone (602) 303-0819

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
633480AZMDDriver
4402AZMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triple M Transportation LLC Transportation Network Company CurrentSince Aug 4, 2024 Accepting new patients
Stars Medical Transportation LLC Current Accepting new patients

Locations

2260 E Fry Blvd
Ste D5
Sierra Vista, AZ 85635
Phone (602) 303-0819

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1446854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1861865222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 E FRY BLVD STE D5",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352732",
            "telephone_number": "602-303-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 E FRY BLVD STE D5",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352732",
            "telephone_number": "602-303-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELHAY",
        "first_name": "REEM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-07",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "AZ",
            "license": "633480",
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "AZ",
            "license": "4402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.