Active NPI
Emmanuel H Nyanchini
- Non-emergency Medical Transport (VAN)
- Wichita, KS
National Provider Identifier
1366962003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 036-820900399F-01
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-820900399F-01 | Other | KS | KANSAS WITH HOLDING TAX IDENTIFICATION NUMBER/ACCOUNT |
Other names 1
- None None None
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edisa Paramedics Transportation, LLC | Non-Emergency Medical Transport (Van) | Past | 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.
-
- Non-emergency Medical Transport (VAN)
- Wichita, KS
- NPI 1801316567
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.