Lacresha Ellis

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

4603 Brickwood Meadow Dr
North Dinwiddie, VA 23803-8875

Phone

(804) 895-8450

NPI assigned

Jun 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Healing for Advancement LLC

  • Mental Health Counselor
  • North Dinwiddie, VA
  • NPI 1629843719
  NPD Authorized official
• Lma Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • North Dinwiddie, VA
  • NPI 1487220406
  NPD Authorized official

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1942876966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 BRICKWOOD MEADOW DR",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238038875",
            "telephone_number": "804-895-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 BRICKWOOD MEADOW DR",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238038875",
            "telephone_number": "804-895-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "LACRESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Tanisha Davis-Biggs, PMHNP
• Dinwiddie Pediatric Dentistry PC
• Divine Purpose
• Tiffany Loveday Droog, FNP-BC
• Dunham DDS of Dinwiddie, PC (Dinwiddie Dental)
• Susan Emrick, NP
• Epic Journeys Transportation LLC
• Doris Estrich
• Fam 4 Life Services
• Elizabeth Fatseas, LCSW

• Non-emergency Medical Transport (VAN) in North Dinwiddie, VA
• Providers in North Dinwiddie, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.