RESHONDA KELLY (NPI# 1609271436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609271436 |
Entity Type | Individual |
Full Name | RESHONDA KELLY |
Practice Address |
1048 Blairfield Dr Antioch TN 37013-3900 |
Practice Telephone | 6159793083 |
Mailing Telephone | 6159793083 |
Enumeration Date | 2014-10-22 |
Last Update Date | 2014-10-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 172A00000X | Driver | 183448 | TN | Other Service Providers |
Y | 343800000X | Secured Medical Transport (VAN) | 183448 | TN | Transportation Services |
N | 343900000X | Non-emergency Medical Transport (VAN) | 183448 | TN | Transportation Services |
Street Address |
1048 BLAIRFIELD DR |
City | ANTIOCH |
State | TN |
Zip Code | 37013-3900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538706155 | Aisha Lbhalla | In Home Supportive Care | 324 Schoolhouse Ct, Antioch, TN 37013 | 2019-12-02 |
1023516580 | Aida Attia Faltas | Pharmacist | 608 Copper Rideg Trail, Antioch, TN 37013 | 2018-01-30 |
1700304839 | Good Shepherd Pharmacy LLC | Pharmacy | 2717 B Murfreesboro Pike, Antioch, TN 37013 | 2017-09-08 |
1053836593 | Inspired By Love Home Care, Inc. | In Home Supportive Care | 257 Maxwell Pl, Antioch, TN 37013 | 2017-08-05 |
1003354614 | Bridgestone Pharmacy LLC | Pharmacy | 825 Hamilton Crossings, Antioch, TN 37013 | 2017-02-02 |
1215388947 | Stattee Medical Transpoprtation Inc | Non-emergency Medical Transport (VAN) | 340 Schoolhouse Ct, Antioch, TN 37013 | 2016-06-23 |
1518313055 | Alisha Lampley | Counselor | 804 Thomas Bay Court, Antioch, TN 37013 | 2016-05-13 |
1467821835 | Clifton Mcdaniel | Respiratory Therapist, Certified | 3165 Skinner Dr, Antioch, TN 37013 | 2015-09-16 |
1497149884 | Frank Hamilton Anderson Iv | Family Medicine | 2572 Treetop Dr, Antioch, TN 37013 | 2015-03-24 |
1013356757 | Kevin Eugene Groh | Physician Assistant | 5380 Hickory Hollow Pkwy Ste 201, Antioch, TN 37013 | 2013-06-16 |
Find all providers in zip 37013 |
Taxonomy Code | 343800000X |
Grouping | Transportation Services |
Classification | Secured Medical Transport (VAN) |
A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891130498 | Z & S Medical Transport | Secured Medical Transport (VAN) | 4632 Buckpasser Ave, Antioch, TN 37013-2184 | 2013-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619494721 | Impact Transportation, LLC | Secured Medical Transport (VAN) | 5490 Bradford Hicks Dr, Livingston, TN 38570-2250 | 2017-08-29 |
1780137372 | Express Medical Transportation | Secured Medical Transport (VAN) | 6001 Old Hickory Blvd, Apt 365, Hermitage, TN 37076-3088 | 2016-07-29 |
1447882089 | A Unity Transportation, LLC | Secured Medical Transport (VAN) | 3254 Winbrook Dr, Memphis, TN 38116-3644 | 2020-02-11 |
1659925105 | Dt Transportation | Secured Medical Transport (VAN) | 6925 Glen Errol Way, East Ridge, TN 37412 | 2019-08-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.