Jimmy N Nkutu

Primary specialty

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

Practice address

1889 Heron View Way
Round Lake, IL 60073-8131

Phone

(847) 812-0190

Fax

(847) 886-7033

NPI assigned

Apr 15, 2013

Last updated

Apr 15, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Call My Ride Medical Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Round Lake, IL
  • NPI 1356776173
  Authorized official Same address or phone

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1891138327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 HERON VIEW WAY",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600738131",
            "telephone_number": "847-812-0190",
            "fax_number": "847-886-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1889 HERON VIEW WAY",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600738131",
            "telephone_number": "847-812-0190",
            "fax_number": "847-886-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKUTU",
        "first_name": "JIMMY",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Tam-Phan Nguyen, PHARMD
• Nicasa
• Nicasa
• Nicasa NFP
• Nikogosian Vision Care
• Michele Rose Norris, M.A., CCC-SLP
• NW Dentiq Center P.C (Round Lake Family Dentistry)
• Tiffany M. O'Malley, M.ED.
• James Ogle
• Denise Victoria Pacifico Pajarillo, RPH

• Non-emergency Medical Transport (VAN) in Round Lake, IL
• Providers in Round Lake, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.