REVA OTEY (NPI# 1639705361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639705361 |
| Entity Type | Individual |
| Full Name | REVA OTEY |
| Practice Address |
4964 Thornspring Rd Pulaski VA 24301-7022 |
| Practice Telephone | 5409949598 |
| Mailing Telephone | 5409949598 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 11029237 | VA | Transportation Services |
| Street Address |
4964 THORNSPRING RD |
| City | PULASKI |
| State | VA |
| Zip Code | 24301-7022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932672532 | Pulaski County Public Schools | Speech-Language Pathologist | 202 North Washington Avenue, Pulaski, VA 24301 | 2019-01-07 |
| 1912490269 | Pulaski County Public Schools | Speech-Language Pathologist | 202 N. Washington Avenue, Pulaski, VA 24301 | 2018-06-12 |
| 1376966689 | Charles Martin | Registered Nurse | 8400 Lee Highway, Pulaski, VA 24301 | 2014-01-23 |
| 1366738817 | Rolf Alfred Koehler | Internal Medicine | 2524 Saddle Ridge Circle, Pulaski, VA 24301 | 2011-06-23 |
| 1558654335 | Kimberly Rena White | Pharmacist | 901 Memorial Drive, Walgreens, Pulaski, VA 24301 | 2011-05-26 |
| 1366677791 | Ehikioya Osamudiamen Osemobor | Internal Medicine | 2460 Lee Highway, Pulaski, VA 24301 | 2009-05-29 |
| 1154452555 | Ellis Home Oxygen and Medical Equipment | Durable Medical Equipment & Medical Supplies | 2460 Lee Hwy, Suite 7, Pulaski, VA 24301 | 2007-03-08 |
| 1437233087 | George Frederick Brame II | Nurse Anesthetist, Certified Registered | 2400 Lee Highway, Pulaski Community Hospital, Pulaski, VA 24301 | 2006-10-24 |
| 1801981337 | Windy Saunders Hundley | Nurse Practitioner | 101 1st Street Nw, Pulaski, VA 24301 | 2006-10-03 |
| 1881700250 | Cynthia Martin Southern | Dentist | 62 E Main Street, Pulaski, VA 24301 | 2006-08-21 |
| Find all providers in zip 24301 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851958961 | Premier Non Emergency Medical Transportation, LLC | Non-emergency Medical Transport (VAN) | 1416 English Forest Rd, Pulaski, VA 24301-3008 | 2019-05-23 |
| 1629592878 | New River Valley Senior Services | Non-emergency Medical Transport (VAN) | 141 E Main St Ste 500, Pulaski, VA 24301-5047 | 2017-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376939 | Supreme Taxi LLC | Non-emergency Medical Transport (VAN) | 5407 Grist Mill Dr, North Chesterfield, VA 23234-6705 | 2020-11-03 |
| 1629679154 | Whitney Simmons | Non-emergency Medical Transport (VAN) | 4103 Cedar Ln Apt B, Portsmouth, VA 23703-2040 | 2020-11-02 |
| 1407456544 | Lavender Non-medical Transportations LLC | Non-emergency Medical Transport (VAN) | 901 S Highland St Ste 333, Arlington, VA 22204-2459 | 2020-10-28 |
| 1962002279 | Life Services &transportation Inc. | Non-emergency Medical Transport (VAN) | 2075 Mountain Road, Halifax, VA 24558 | 2020-10-27 |
| 1114527603 | Dependable Care Transportation LLC | Non-emergency Medical Transport (VAN) | 355 Pear Ridge Cir, Newport News, VA 23602-5260 | 2020-10-26 |
| 1811596448 | Mm&q Transportation Inc. | Non-emergency Medical Transport (VAN) | 6109 Belrun Ct, North Chesterfield, VA 23234-3403 | 2020-10-24 |
| 1407455033 | Pedro Berrios | Non-emergency Medical Transport (VAN) | 1305 Old Iron Rd, Hopewell, VA 23860-6601 | 2020-10-24 |
| 1407455074 | Medisist Inc. | Non-emergency Medical Transport (VAN) | 6001 Pleasant Pond Pl, Chesterfield, VA 23832-9210 | 2020-10-23 |
| 1568061133 | All Star Care Transportation | Non-emergency Medical Transport (VAN) | 2507 Pompey Springs Rd, Richmond, VA 23234-1331 | 2020-10-23 |
| 1336748144 | Tena Lin'neese Artise' | Non-emergency Medical Transport (VAN) | 1285 N King St Ste 5, Hampton, VA 23669-2233 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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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.