Individual provider Active NPI

Wanita L Allen

  • Non-emergency Medical Transport (VAN)
  • Memphis, TN
National Provider Identifier
1972279487
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
3829 Annette LN
Memphis, TN 38127-4304
Phone
(901) 264-3062
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 097502102 TN
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

3829 Annette LN
Memphis, TN 38127-4304

Mailing address

750 E US Highway 80 Ste 200-423
Forney, TX 75126-8722
Phone (901) 264-3062

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

LicenseStateTypeSpecialty
097502102TNMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Make a Way Transit 2 Inc CurrentSince Jan 21, 2024 Accepting new patients
Make a Way Transit LLC Non-Emergency Medical Transport (Van) CurrentSince Aug 28, 2021 Accepting new patients

Locations

750 E US Highway 80
Ste 200423
Forney, TX 75126
Phone (901) 264-3062

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1972279487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E US HIGHWAY 80 STE 200-423",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751268722",
            "telephone_number": "901-264-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 ANNETTE LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381274304",
            "telephone_number": "901-264-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "WANITA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TN",
            "license": "097502102",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 17, 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.