Individual provider Active NPI

Sanoussi Y Mahamat

  • Adult Companion
  • Grand Island, NE
National Provider Identifier
1043115736
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
H14114232 Issued in NE
Practice address
204 Piper St Apt 1
Grand Island, NE 68803-4030
Phone
(308) 227-4949
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X H14114232 NE Primary

Addresses

Primary practice location

204 Piper St Apt 1
Grand Island, NE 68803-4030

Mailing address

204 Piper St Apt 1
Grand Island, NE 68803-4030
Phone (308) 227-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1043115736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PIPER ST APT 1",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034030",
            "telephone_number": "308-227-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PIPER ST APT 1",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034030",
            "telephone_number": "308-227-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAMAT",
        "first_name": "SANOUSSI",
        "middle_name": "Y",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NE",
            "license": "H14114232",
            "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 Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.