Koffi Wunaki

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

14536085-0160 Issued in UT

Practice address

1134 E Commodore LN
Saratoga Springs, UT 84045-5569

Phone

(385) 445-3461

NPI assigned

Jan 29, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1093528572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 E COMMODORE LN",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455569",
            "telephone_number": "385-445-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 E COMMODORE LN",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455569",
            "telephone_number": "385-445-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNAKI",
        "first_name": "KOFFI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "UT",
            "license": "14536085-0160",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "UT",
            "license": "14536085-0160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Non-emergency Medical Transport (VAN) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.