Individual provider Active NPI

Malenkoane Anacletta Monyaki III

  • Community Health Worker
  • Grand Island, NE
National Provider Identifier
1942149125
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
309 Cardinal Dr
Grand Island, NE 68803-7001
Phone
(308) 210-0102
NPI assigned
Mar 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NE Primary

Addresses

Primary practice location

309 Cardinal Dr
Grand Island, NE 68803-7001

Mailing address

309 Cardinal Dr
Grand Island, NE 68803-7001
Phone (308) 210-0102

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": "1774396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1942149125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 CARDINAL DR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688037001",
            "telephone_number": "308-210-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 CARDINAL DR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688037001",
            "telephone_number": "308-210-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONYAKI",
        "first_name": "MALENKOANE",
        "middle_name": "ANACLETTA",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.