MEDICARE: NEVADA TRANSIT CONNECT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347E00000X	Transportation Broker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1558924134	OTHER	NV	NON EMERGENCY MEDICAL TRANSPORT
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124681424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA TRANSIT CONNECT

Provider Business Mailing Address
First Line	:	6210 N JONES BLVD UNIT 753611
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89136-8964
Country	:	US
Telephone Number	:	702-970-7440
Fax Number	:

Provider Business Practice Location Address
First Line	:	3007 EXTRAVAGANT AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3501
Country	:	US
Telephone Number	:	702-754-7746
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER / DIRECTOR
Name	:	MRS. JAMIE ESPRECION
Credential	:
Telephone Number	:	702-970-7440

Provider Enumeration Date	:	04/22/2019
Last Update Date	:	04/22/2019

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Directions to “NEVADA TRANSIT CONNECT ” Practice Location

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