Individual provider Active NPI

Harrison Omondi Awuonda

  • Non-emergency Medical Transport (VAN)
  • Litchfield Park, AZ
National Provider Identifier
1114715604
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
343900000X Issued in AZ
Practice address
12406 W Missouri Ave
Litchfield Park, AZ 85340-3453
Phone
(602) 466-0785
NPI assigned
Apr 25, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 343900000X AZ Primary

Addresses

Primary practice location

12406 W Missouri Ave
Litchfield Park, AZ 85340-3453

Mailing address

12406 W Missouri Ave
Litchfield Park, AZ 85340-3453
Phone (602) 466-0785

Other names 1

  • Mrs. Olivia Mongina Nyandigisi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
343900000XAZMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1114715604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12406 W MISSOURI AVE",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853403453",
            "telephone_number": "602-466-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12406 W MISSOURI AVE",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853403453",
            "telephone_number": "602-466-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWUONDA",
        "first_name": "HARRISON",
        "middle_name": "OMONDI",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "343900000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "NYANDIGISI",
            "middle_name": "MONGINA",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.