Individual provider Active NPI

Ntunzwenimana Kasimu

  • Taxi
  • Rock Island, IL
National Provider Identifier
1306568639
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
2540202022 Issued in IL
Practice address
510 8TH St Apt 102
Rock Island, IL 61201-8332
Phone
(309) 558-7135
NPI assigned
Sep 13, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X 2540202022 IL Primary

Addresses

Primary practice location

510 8TH St Apt 102
Rock Island, IL 61201-8332

Mailing address

510 8TH St Apt 102
Rock Island, IL 61201-8332
Phone (309) 558-7135

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
2540202022ILMDTaxi

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1306568639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 8TH ST APT 102",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018332",
            "telephone_number": "309-558-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 8TH ST APT 102",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018332",
            "telephone_number": "309-558-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASIMU",
        "first_name": "NTUNZWENIMANA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "IL",
            "license": "2540202022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.