Sky Harbor Shuttle LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

AMB.ES.60683888 Issued in WA

Legal business name

SKY HARBOR SHUTTLE LLC

Practice address

117 S Maple St
Aberdeen, WA 98520-4563

Phone

(360) 482-3996

NPI assigned

Nov 28, 2016

Organization subpart

No

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

Authorized official

Name

Stacy Andrews

Title

Ceo

Phone

(360) 482-3996

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1922541770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S MAPLE ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204563",
            "telephone_number": "360-482-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S MAPLE ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204563",
            "telephone_number": "360-482-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY HARBOR SHUTTLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-482-3996"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WA",
            "license": "AMB.ES.60683888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Ellen Shipley-Peters
• Krystal Lynn Shope, LMP
• Stephanie Simmons, COTA/L
• Ravikumar Singh, MD
• Megan Skelly, OTR/L
• Stephanie Marie Sladek, M.S., CF/SLP
• Smile Right Orthodontics
• Lyric Rain Smith
• Samantha Lee Smith, LMP
• Shaun Emory Smith, PA

• Ambulance in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.