Individual provider Active NPI

Alefe Wubgizie Workenehe

  • Non-emergency Medical Transport (VAN)
  • Colorado Springs, CO
National Provider Identifier
1417566670
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
1633 E Woodmen Rd Apt 20
Colorado Springs, CO 80920-3301
Phone
(857) 261-0408
NPI assigned
Jul 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 1417566670 CO
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1633 E Woodmen Rd Apt 20
Colorado Springs, CO 80920-3301

Mailing address

1633 E Woodmen Rd Apt 20
Colorado Springs, CO 80920-3301
Phone (857) 261-0408

Other practice location 1

1633 E Woodmen Rd Apt 20
Colorado Springs, CO 80920-3301
Phone (857) 261-0408 ext. 2

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL mobilephone
Other URL Transportation Direct

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
1417566670COMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Transportation LLC Non-Emergency Medical Transport (Van) CurrentSince Sep 20, 2020 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": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1417566670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 E WOODMEN RD APT 20",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203301",
            "telephone_number": "857-261-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 E WOODMEN RD APT 20",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203301",
            "telephone_number": "857-261-0408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1633 E Woodmen Rd Apt 20",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809203301",
            "country_code": "US",
            "telephone_number": "857-261-0408 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORKENEHE",
        "first_name": "ALEFE",
        "middle_name": "WUBGIZIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CO",
            "license": "1417566670",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mobilephone",
            "affiliation": "N",
            "address_1": "1633 E Woodmen Rd Apt 20",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809203301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Transportation",
            "affiliation": "N",
            "endpointDescription": "NEMT",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NEMT",
            "address_1": "1633 E Woodmen Rd Apt 20",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809203301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.