=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629928601
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ENVISION CONNECT LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/30/2026
-----------------------------------------------------
Last Update Date | 01/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 135 E MARKET ST
-----------------------------------------------------
City | MARTINSVILLE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24112-3710
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 276-790-4649
-----------------------------------------------------
Fax | 276-790-4649
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 135 E MARKET ST
-----------------------------------------------------
City | MARTINSVILLE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24112-3710
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 276-790-4649
-----------------------------------------------------
Fax | 276-790-4649
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SHANNON WALKER HUFFMAN
-----------------------------------------------------
Credential | HUFFMAN
-----------------------------------------------------
Telephone | 276-790-4649
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 347E00000X
-----------------------------------------------------
Taxonomy Name | Transportation Broker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------