Shawn Wallace

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Practice address

4400 Stamp Rd Ste 404a
Temple Hills, MD 20748-6730

Phone

(301) 664-2149

NPI assigned

Jan 2, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley View Partners LLC

  • Non-emergency Medical Transport (VAN)
  • Temple Hills, MD
  • NPI 1245185404
  NPD Authorized official

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1891408266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 STAMP RD STE 404A",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486730",
            "telephone_number": "301-664-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 STAMP RD STE 404A",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486730",
            "telephone_number": "301-664-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "SHAWN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2022-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@valleyviewtransportation.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "info@valleyviewtransportation.com",
            "address_1": "4400 Stamp Rd Ste 404A",
            "city": "Temple Hills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207486730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Drevon Vance
• Joseph A Vander Walde, MD
• Linda Joyce Vaughn, MS, CCC-SLP
• Oddyssey Wade
• Linda Carol Wadud, BSN, MSN, CDE
• Reginald M Wallen, M.D.
• Joy Egho Warn
• Desirae Warren, DC
• Jacqueline Elizabeth Washington
• Nicole Washington

• Transportation Network Company in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Transportation Network Company in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.