Organization Active NPI

CTC Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Memphis, TN
National Provider Identifier
1902363468
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CTC TRANSPORTATION LLC
Practice address
6099 Mount Moriah Road Ext Ste 9a
Memphis, TN 38115-0311
Phone
(901) 509-8272
Fax
(901) 410-4545
NPI assigned
Feb 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Adriane Renee Harris
Title
Owner
Phone
(901) 509-8272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

6099 Mount Moriah Road Ext Ste 9a
Memphis, TN 38115-0311

Mailing address

6099 Mount Moriah Road Ext Ste 9a
Memphis, TN 38115-0311
Phone (901) 509-8272

Other practice location 1

1779 Kirby Pkwy Ste 306
Memphis, TN 38138-3666
Phone (901) 628-4397

Other identifiers 1

IdentifierTypeStateIssuer
Q048164MedicaidTN

National Provider Directory

National Provider Directory

Locations

1779 Kirby Pkwy
Ste 306
Memphis, TN 38138
Phone (901) 628-4397

6099 Mount Moriah Road Ext
Ste 9A
Memphis, TN 38115
Phone (901) 313-0044

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1902363468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6099 MOUNT MORIAH ROAD EXT STE 9A",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150311",
            "telephone_number": "901-509-8272",
            "fax_number": "901-410-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 MOUNT MORIAH ROAD EXT STE 9A",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150311",
            "telephone_number": "901-509-8272",
            "fax_number": "901-410-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1779 Kirby Pkwy Ste 306",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381383666",
            "country_code": "US",
            "telephone_number": "901-628-4397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CTC TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ADRIANE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-509-8272"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q048164",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.