Active NPI
Amanda Shaiyah
- Driver
- Skokie, IL
National Provider Identifier
1396639076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- S00000089971
- Practice address
- 8930 Bronx Ave Apt 2B
Skokie, IL 60077-1912 - Phone
- (773) 987-1255
- NPI assigned
- Jun 5, 2025
- Last updated
- Jun 5, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Driver | 172A00000X | S00000089971 | IL | Primary |
Addresses
Primary practice location
8930 Bronx Ave Apt 2B
Skokie, IL 60077-1912
Mailing address
8930 Bronx Ave Apt 2B
Skokie, IL 60077-1912
Phone (773) 987-1255
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
| License | State | Type | Specialty |
|---|---|---|---|
| S00000089971 | IL | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K & a Medical Transportation LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Non-emergency Medical Transport (VAN)
- Skokie, IL
- NPI 1588558258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1396639076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8930 BRONX AVE APT 2B",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771912",
"telephone_number": "773-987-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8930 BRONX AVE APT 2B",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771912",
"telephone_number": "773-987-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIYAH",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-05",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "IL",
"license": "S00000089971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.