Active NPI
Kouyen'Dou N'Da
- Home Health Aide
- Omaha, NE
National Provider Identifier
1003776212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 4201 N 90TH St
Omaha, NE 68134-4136 - Phone
- (402) 401-6689
- Fax
- (402) 939-0557
- NPI assigned
- Nov 12, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
4201 N 90TH St
Omaha, NE 68134-4136
Mailing address
5506 N 168TH Ave Apt 419
Omaha, NE 68116-3337
Phone (531) 222-7987
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": "1762905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1003776212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5506 N 168TH AVE APT 419",
"city": "OMAHA",
"state": "NE",
"postal_code": "681163337",
"telephone_number": "531-222-7987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 N 90TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681344136",
"telephone_number": "402-401-6689",
"fax_number": "402-939-0557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "N'DA",
"first_name": "KOUYEN'DOU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-12",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.