The Ivy Foundation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

THE IVY FOUNDATION LLC

Practice address

2040 Birch St
Atchison, KS 66002-2146

Phone

(816) 401-4124

NPI assigned

Aug 17, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Adrian Marquez Duran Jr.

Title

Ceo/President

Phone

(816) 401-4124

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

The Ivy Foundation LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Ivy Foundation LLC

  • Non-emergency Medical Transport (VAN)
  • Atchison, KS
  • NPI 1518633304
  NPD tax ID
• The Ivy Foundation LLC

  • Non-emergency Medical Transport (VAN)
  • Atchison, KS
  • NPI 1679241020
  NPD tax ID

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720051200000",
    "number": "1740956267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 BIRCH ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022146",
            "telephone_number": "816-401-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 BIRCH ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022146",
            "telephone_number": "816-401-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE IVY FOUNDATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "MARQUEZ",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "816-401-4124",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INFO@THEIVYFOUNDATIONAZ.COM",
            "affiliation": "N",
            "endpointDescription": "SSM",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "675 N Butler St",
            "city": "Eagar",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bonnie A Tackett, MD
• Brandon Tackett
• Abdel K Tayiem, M.D.
• The Ivy Foundation LLC
• The Ivy Foundation LLC
• Justin Lee Theleman, MD
• Thomas Family Practice, LLC
• Ryan M. Thomas, MD
• David John Thompson, PT
• Jordan Kane Thompson, DDS

• Non-emergency Medical Transport (VAN) in Atchison, KS
• Providers in Atchison, KS by specialty
• Non-emergency Medical Transport (VAN) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; 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.