Kenyi Okucu

Primary specialty

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

License

343900000X Issued in MN

Practice address

1490 148TH Ave NW
Andover, MN 55304-3459

Phone

(612) 401-8145

NPI assigned

Sep 7, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Foster Transportation Services LLC

  • Non-emergency Medical Transport (VAN)
  • Sandstone, MN
  • NPI 1013644509
  NPD Authorized official

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536364800000",
    "number": "1861975765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 148TH AVE NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043459",
            "telephone_number": "612-401-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 148TH AVE NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043459",
            "telephone_number": "612-401-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUCU",
        "first_name": "KENYI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "343900000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Nyhammer, LICSW
• Allyson Hansen Nystrom, MA CCC-SLP
• Crystal Lee Kieckhoefer O'Malley, M.S.E., CCC-SLP
• Shereen M O'Malley, MA, LP
• Zacharia G Ogwang, FNP
• Mayowa Okuneye, CNP, MSN, MBBS, RN
• Cheryl Lynne Olmsted
• Lacey E Olson, M.S., OTR/L
• Stephanie Olson, SLP-CF
• Andrew Douglas Oppel, PA-C

• Non-emergency Medical Transport (VAN) in Andover, MN
• Providers in Andover, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; 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.