Active NPI
Harrison Omondi Awuonda
- Non-emergency Medical Transport (VAN)
- Litchfield Park, AZ
National Provider Identifier
1114715604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 343900000X
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 343900000X | AZ | MD | Non-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.