Individual provider Active NPI

Agnes Charity Sundayi

  • Non-emergency Medical Transport (VAN)
  • Garland, TX
National Provider Identifier
1538729611
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
213 Creekview Dr Apt 103
Garland, TX 75043-3468
Phone
(817) 673-6830
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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 Primary

Addresses

Primary practice location

213 Creekview Dr Apt 103
Garland, TX 75043-3468

Mailing address

213 Creekview Dr Apt 103
Garland, TX 75043-3468
Phone (817) 673-6830

Other identifiers 1

IdentifierTypeStateIssuer
43450891OtherTXTEXAS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL immediatedfw@gmail.com 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

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1538729611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 CREEKVIEW DR APT 103",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433468",
            "telephone_number": "817-673-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 CREEKVIEW DR APT 103",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433468",
            "telephone_number": "817-673-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDAYI",
        "first_name": "AGNES",
        "middle_name": "CHARITY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS",
            "identifier": "43450891",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "immediatedfw@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "message",
            "address_1": "213 Creekview Dr Apt 103",
            "city": "Garland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750433468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.