Active NPI
Willie Ditu Kayembe, N/A
- Transportation Broker
- Fresno, TX
National Provider Identifier
1396307302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- Practice address
- 1926 Acorn Glen TRL
Fresno, TX 77545-2121 - Phone
- (832) 714-9560
- NPI assigned
- Jul 1, 2019
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interpreter | 171R00000X | TX | ||
| Community Health Worker | 172V00000X | TX | ||
| Non-emergency Medical Transport (VAN) | 343900000X | TX | ||
| Taxi | 344600000X | TX | ||
| Private Vehicle | 347C00000X | TX | ||
| Transportation Broker | 347E00000X | TX | Primary |
Addresses
Primary practice location
1926 Acorn Glen TRL
Fresno, TX 77545-2121
Mailing address
1926 Acorn Glen TRL
Fresno, TX 77545-2121
Phone (832) 714-9560
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 |
|---|---|---|---|
| Neat Medic | Non-Emergency Medical Transport (Van) | Current | 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)
- Fresno, TX
- NPI 1316541063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606003200000",
"number": "1396307302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1926 ACORN GLEN TRL",
"city": "FRESNO",
"state": "TX",
"postal_code": "775452121",
"telephone_number": "832-714-9560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1926 ACORN GLEN TRL",
"city": "FRESNO",
"state": "TX",
"postal_code": "775452121",
"telephone_number": "832-714-9560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYEMBE",
"first_name": "WILLIE",
"middle_name": "DITU",
"name_prefix": "Mr.",
"credential": "N/A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-01",
"last_updated": "2020-11-22",
"certification_date": "2020-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "171R00000X",
"taxonomy_group": "",
"desc": "Interpreter",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.