Active NPI
Quiet Storm Enterprise LLC
- Non-emergency Medical Transport (VAN)
- Fayetteville, NC
National Provider Identifier
1972363927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- QUIET STORM ENTERPRISE LLC
- Practice address
- 2904 Prioress Dr
Fayetteville, NC 28306-3054 - Phone
- (910) 263-2292
- NPI assigned
- Mar 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tewana P Nelson
- Title
- Overseer
- Phone
- (910) 263-2292
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Secured Medical Transport (VAN) | 343800000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
2904 Prioress Dr
Fayetteville, NC 28306-3054
Mailing address
2904 Prioress Dr
Fayetteville, NC 28306-3054
Phone (910) 263-2292
Other names 1
- quiet Storm Enterprise LLC
National Provider Directory
National Provider Directory- Tax ID family
- Quiet Storm Enterprise
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Driver
- Fayetteville, NC
- NPI 1467212928
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Agency
- Fayetteville, NC
- NPI 1013896786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1972363927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2904 PRIORESS DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283063054",
"telephone_number": "910-263-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2904 PRIORESS DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283063054",
"telephone_number": "910-263-2292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUIET STORM ENTERPRISE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "TEWANA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OVERSEER",
"authorized_official_telephone_number": "910-263-2292"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "quiet Storm Enterprise LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.