Organization Active NPI

Medtrans of TN , LLC

  • Non-emergency Medical Transport (VAN)
  • Memphis, TN
National Provider Identifier
1972018505
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDTRANS OF TN , LLC
Practice address
1331 Union Ave Ste 1000
Memphis, TN 38104-3513
Phone
(855) 633-8747
NPI assigned
Dec 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Ravonerica Brown
Title
President
Phone
(901) 495-2323

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X TN Primary
Non-emergency Medical Transport (VAN) 343900000X MS
Transportation Broker 347E00000X TN
Transportation Broker 347E00000X MS

Addresses

Primary practice location

1331 Union Ave Ste 1000
Memphis, TN 38104-3513

Mailing address

1331 Union Ave Ste 1000
Memphis, TN 38104-3513
Phone (901) 495-2323

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1972018505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE STE 1000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043513",
            "telephone_number": "901-495-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE STE 1000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043513",
            "telephone_number": "855-633-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTRANS OF TN , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RAVONERICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-495-2323"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "MS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.