Northern Driver, LLC

Primary specialty

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

Legal business name

NORTHERN DRIVER, LLC

Practice address

5016 N Mary Martin Dr
Appleton, WI 54913-8061

Phone

(920) 585-9295

NPI assigned

Mar 8, 2024

Organization subpart

No

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

Authorized official

Name

Shoua Her VangNPI 1598571622

Title

Member

Phone

(920) 809-6689

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shoua Her Vang

  • Registered Nurse
  • Appleton, WI
  • NPI 1598571622
  NPD Authorized official

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1962260570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 N MARY MARTIN DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 N MARY MARTIN DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138061",
            "telephone_number": "920-585-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN DRIVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "SHOUA",
        "authorized_official_middle_name": "HER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "920-809-6689"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Appleton, WI
• Providers in Appleton, WI by specialty
• Non-emergency Medical Transport (VAN) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.