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  7. NPI Record 1154014728

DE'ASIA NICOLE JOHNSON
Complete NPI Record 1154014728
Non-emergency Medical Transport (VAN) in Dayton, OH

NPI Status: Active since May 31, 2023

Contact Information

4754 VANGUARD AVE
DAYTON, OH
ZIP 45417
Phone: (937) 530-3461

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider First Line Business Mailing Address
  7. Provider Business Mailing Address City Name
  8. Provider Business Mailing Address State Name
  9. Provider Business Mailing Address Postal Code
  10. Provider Business Mailing Address Country Code If outside U S
  11. Provider Business Mailing Address Telephone Number
  12. Provider First Line Business Practice Location Address
  13. Provider Business Practice Location Address City Name
  14. Provider Business Practice Location Address State Name
  15. Provider Business Practice Location Address Postal Code
  16. Provider Business Practice Location Address Country Code If outside U S
  17. Provider Business Practice Location Address Telephone Number
  18. Provider Enumeration Date
  19. Last Update Date
  20. Provider Gender Code
  21. Healthcare Provider Taxonomy Code 1
  22. Healthcare Provider Primary Taxonomy Switch 1
  23. Is Sole Proprietor
  24. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1154014728. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1154014728
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: DE'ASIA
The last name of the provider. If the provider is an individual, this is the legal name.
Provider Middle Name: NICOLE
The middle name of the provider, if the provider is an individual.
Provider First Line Business Mailing Address: 4754 VANGUARD AVE
The middle name of the provider, if the provider is an individual.
Provider Business Mailing Address City Name: DAYTON
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: OH
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address Postal Code: 454175938
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 Country Code If outside U S : US
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 Number: 9375303461
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’’.
Provider First Line Business Practice Location Address: 4754 VANGUARD AVE
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’’.
Provider Business Practice Location Address City Name: DAYTON
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: OH
The city name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code: 454175938
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 Country Code If outside U S : US
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 Number: 9375303461
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 5/31/2023
The telephone number associated with the location address of the provider being identified.
Last Update Date: 5/31/2023
The date that a record was last updated or changed.
Provider Gender Code: F
The date that a record was last updated or changed.
Healthcare Provider Taxonomy Code 1: 343900000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Is Sole Proprietor: Y
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
NPI Certification Date: 5/31/2023
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No