Individual provider Active NPI

Emmanuel H Nyanchini

  • Non-emergency Medical Transport (VAN)
  • Wichita, KS
National Provider Identifier
1366962003
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
036-820900399F-01 Issued in KS
Practice address
1100 S Royal Road
1100 S Royal Road
Wichita, KS 67207-2840
Phone
(318) 821-8639
Fax
(316) 613-8059
NPI assigned
Jun 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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 036-820900399F-01 KS Primary

Addresses

Primary practice location

1100 S Royal Road
1100 S Royal Road
Wichita, KS 67207-2840

Mailing address

1100 S Royal Road
1100 S Royal Road
Wichita, KS 67207-2840
Phone (316) 821-8639

Other identifiers 1

IdentifierTypeStateIssuer
036-820900399F-01OtherKSKANSAS WITH HOLDING TAX IDENTIFICATION NUMBER/ACCOUNT

Other names 1

  • None None None 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

Practice roles

OrganizationSpecialtyStatusNew patients
Edisa Paramedics Transportation, LLC Non-Emergency Medical Transport (Van) PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1366962003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S ROYAL ROAD",
            "address_2": "1100 S ROYAL ROAD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672072840",
            "telephone_number": "316-821-8639",
            "fax_number": "316-613-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S ROYAL ROAD",
            "address_2": "1100 S ROYAL ROAD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672072840",
            "telephone_number": "318-821-8639",
            "fax_number": "316-613-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYANCHINI",
        "first_name": "EMMANUEL",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "KS",
            "license": "036-820900399F-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS WITH HOLDING TAX IDENTIFICATION NUMBER/ACCOUNT",
            "identifier": "036-820900399F-01",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NONE",
            "last_name": "NONE",
            "middle_name": "NONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.