Individual provider Active NPI

Irankunda Eddy Walcott

  • Non-emergency Medical Transport (VAN)
  • Fargo, ND
National Provider Identifier
1700752045
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
EDM-00-8004 Issued in ND
Practice address
7219 26TH St S
Fargo, ND 58104-7931
Phone
(701) 630-9247
Fax
(701) 630-9247
NPI assigned
Oct 14, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 EDM-00-8004 ND Primary

Addresses

Primary practice location

7219 26TH St S
Fargo, ND 58104-7931

Mailing address

7219 26TH St S
Fargo, ND 58104-7931
Phone (701) 630-9247

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
EDM-00-8004NDMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1700752045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7219 26TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047931",
            "telephone_number": "701-630-9247",
            "fax_number": "701-630-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 26TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047931",
            "telephone_number": "701-630-9247",
            "fax_number": "701-630-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY WALCOTT",
        "first_name": "IRANKUNDA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "ND",
            "license": "EDM-00-8004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.