Your Ride Transport, LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

YOUR RIDE TRANSPORT, LLC

Practice address

107 S Gaines St Ste 104
Ennis, TX 75119-4612

Phone

(785) 375-1221

Fax

(972) 875-6276

NPI assigned

Mar 20, 2023

Organization subpart

No

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

Authorized official

Name

Gregory Donald Nickles

Title

Owner

Phone

(785) 375-1221

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1912609462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1125",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751201125",
            "telephone_number": "785-375-1221",
            "fax_number": "972-875-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S GAINES ST STE 104",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194612",
            "telephone_number": "785-375-1221",
            "fax_number": "972-875-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR RIDE TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "NICKLES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-375-1221"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deana Marie Wright, P.T.
• Christy Rachel Yetter I, MPAS, PA-C
• Freddie Yeung, PHARMD
• Andrea Lee Young, MA, LCDC
• Jill Marie Young, MS CCC-SLP
• Neal A Zeigler, MD

• Secured Medical Transport (VAN) in Ennis, TX
• Providers in Ennis, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.