MEDICARE: RASHIDA STANLEY

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	343900000X	Non-emergency Medical Transport (VAN)	2026218329	GA

General Provider Information

NPI Number	:	1992635064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RASHIDA STANLEY

Provider Business Mailing Address
First Line	:	4087 CASPIAN TRCE
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30039-2777
Country	:	US
Telephone Number	:	770-558-7665
Fax Number	:

Provider Business Practice Location Address
First Line	:	4087 CASPIAN TRCE
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30039-2777
Country	:	US
Telephone Number	:	770-558-7665
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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Directions to “ RASHIDA STANLEY ” Practice Location

Language	Start Address	Practice Location

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