Eminence Transportation Service

Primary specialty

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

Legal business name

EMINENCE TRANSPORTATION SERVICE

Practice address

3421 Sellers St
Memphis, TN 38127-5230

Phone

(901) 652-6102

NPI assigned

Nov 12, 2019

Organization subpart

No

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

Authorized official

Name

Yamika Shantell WilsonNPI 1194360396

Title

Owner

Phone

(901) 652-6102

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yamika Shantell Wilson

  • Non-emergency Medical Transport (VAN)
  • Memphis, TN
  • NPI 1194360396
  NPD Authorized official

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1891330007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 SELLERS ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381275230",
            "telephone_number": "901-652-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 SELLERS ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381275230",
            "telephone_number": "901-652-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENCE TRANSPORTATION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "YAMIKA",
        "authorized_official_middle_name": "SHANTELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-652-6102"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Memphis, TN
• Providers in Memphis, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.