Jeneba Fofanah

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Practice address

2235 Dawn Shadow Way
Fresno, TX 77545-8753

Phone

(832) 230-9329

NPI assigned

Apr 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jeneba Enow Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gbounu Medical Transport

  • Non-emergency Medical Transport (VAN)
  • Fresno, TX
  • NPI 1417613621
  NPD Authorized official

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1124600267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 DAWN SHADOW WAY",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458753",
            "telephone_number": "832-230-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 DAWN SHADOW WAY",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458753",
            "telephone_number": "832-230-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOFANAH",
        "first_name": "JENEBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NONE",
            "affiliation": "N",
            "endpointDescription": "NONE",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "NONE",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NONE",
            "address_1": "2235 Dawn Shadow Way",
            "city": "Fresno",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775458753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENEBA",
            "last_name": "ENOW",
            "credential": "JENEBA ENOW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Secured Medical Transport (VAN) in Fresno, TX
• Providers in Fresno, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.