Active NPI
Nathaniel Lamont Addie
- Non-emergency Medical Transport (VAN)
- Akron, OH
National Provider Identifier
1942644042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- RQ090764
- Practice address
- 554 Mineola Ave
Akron, OH 44320-1937 - Phone
- (330) 864-5742
- NPI assigned
- Apr 20, 2013
- Last updated
- Apr 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | RQ090764 | OH | Primary |
Addresses
Primary practice location
554 Mineola Ave
Akron, OH 44320-1937
Mailing address
554 Mineola Ave
Akron, OH 44320-1937
Phone (330) 864-5742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RQ090764 | OH | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366416000000",
"number": "1942644042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 MINEOLA AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443201937",
"telephone_number": "330-864-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 MINEOLA AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443201937",
"telephone_number": "330-864-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDIE",
"first_name": "NATHANIEL",
"middle_name": "LAMONT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-20",
"last_updated": "2013-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "OH",
"license": "RQ090764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.