TAMEKA LA-SHEA CRAYTON-COLE NON MEDICAL TRANSPOR, NPI 1639687171 — LOS ANGELES (CA)

NPI 1639687171

2+ Years Experience Individual

TAMEKA LA-SHEA CRAYTON-COLE NON MEDICAL TRANSPOR

01/18/2018
PROVIDER ENUMERATION DATE
01/18/2018
LAST UPDATE DATE
1639687171
NPI NUMBER

About TAMEKA LA-SHEA CRAYTON-COLE

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

TAMEKA LA-SHEA CRAYTON-COLE is a provider established in LOS ANGELES, CA. The NPI number of TAMEKA LA-SHEA CRAYTON-COLE is 1639687171 and was assigned on 01/18/2018. The practitioners primary taxonomy code is: 347C00000X with license number: B3863280 CA .

Mailing address

  • City: LOS ANGELES
  • State: CA
  • Postal code: 900163527
  • Phone: 4242294947
  • Address: 2829 S HARCOURT AVE

Primary Practice Address

  • Region : LOS ANGELES, CA
  • NPI : 1639687171
  • Phone : 4242294947
  • Postalcode : 900163527
  • Address : 2829 S HARCOURT AVE

Provider taxonomy - Private Vehicle

  • Taxonomy code: 347C00000X
  • License number: B3863280
  • License state: CA

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Contacts:

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  • TAMEKA LA-SHEA CRAYTON-COLE NON MEDICAL TRANSPOR
  • Address : 2829 S HARCOURT AVE
  • Region : LOS ANGELES, CA
  • NPI : 1639687171
  • Phone : 4242294947
  • Postalcode : 900163527

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address2829 S HARCOURT AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameLOS ANGELES
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameCA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code900163527
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number4242294947
The telephone number associated with the location address of the provider being identified.
NPI1639687171
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1347C00000X
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Provider Enumeration Date01/18/2018
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated01/18/2018
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)TAMEKA LA-SHEA CRAYTON-COLE
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address2829 S HARCOURT AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameLOS ANGELES
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameCA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code900163527
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number4242294947
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1347C00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Private Vehicle
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Provider License Number 1B3863280
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1CA
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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