Augustina Anyaegbunam
Individual provider Active NPI Registered Nurse · Omaha, NE
NPI 1033008552 · NPPES record last updated Jun 30, 2025
Key facts
- NPI
- 1033008552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 53425 (NE)
- Practice address
- 3909 Cuming St Ste 203
Omaha, NE 68131-1225 - Phone
- (402) 917-3406
- Fax
- (402) 884-1188
- NPI assigned
- Jun 30, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53425 | NE | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zutan Home Healthcare, Inc. | Current | Accepting new patients |
Locations
3909 Cuming St
Ste 203
Omaha, NE 68131
Phone (402) 504-3326
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 53425 | NE | Yes |
Addresses
Primary practice location
3909 Cuming St Ste 203
Omaha, NE 68131-1225
Mailing address
3909 Cuming St Ste 203
Omaha, NE 68131-1225
Phone (402) 917-3406
NPI Registry JSON
{
"created_epoch": "1751241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1033008552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 CUMING ST STE 203",
"city": "OMAHA",
"state": "NE",
"postal_code": "681311225",
"telephone_number": "402-917-3406",
"fax_number": "402-884-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 CUMING ST STE 203",
"city": "OMAHA",
"state": "NE",
"postal_code": "681311225",
"telephone_number": "402-917-3406",
"fax_number": "402-884-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANYAEGBUNAM",
"first_name": "AUGUSTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-30",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "53425",
"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. Record last updated by the provider on Jun 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.