Active NPI
Karina Kovalenko
- Non-emergency Medical Transport (VAN)
- Clive, IA
National Provider Identifier
1891245445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 8804 Alice Ave
Clive, IA 50325-5474 - Phone
- (515) 306-6373
- Fax
- (844) 586-5123
- NPI assigned
- Oct 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
8804 Alice Ave
Clive, IA 50325-5474
Mailing address
8804 Alice Ave
Clive, IA 50325-5474
Phone (515) 306-6373
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": "1475712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1891245445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8804 ALICE AVE",
"city": "CLIVE",
"state": "IA",
"postal_code": "503255474",
"telephone_number": "515-306-6373",
"fax_number": "844-586-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8804 ALICE AVE",
"city": "CLIVE",
"state": "IA",
"postal_code": "503255474",
"telephone_number": "515-306-6373",
"fax_number": "844-586-5123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVALENKO",
"first_name": "KARINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-06",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.