Nadeige Kipanga Asy

Individual provider Active NPI Home Health Aide · Cedar Rapids, IA

NPI 1104787977 · NPPES record last updated Nov 20, 2025

Key facts

NPI
1104787977
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
1605 30TH St NW Apt 10
Cedar Rapids, IA 52405-1465
Phone
(917) 495-1082
NPI assigned
Nov 20, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X IA Yes

Addresses

Primary practice location

1605 30TH St NW Apt 10
Cedar Rapids, IA 52405-1465

Mailing address

1605 30TH St NW Apt 10
Cedar Rapids, IA 52405-1465
Phone (917) 495-1082

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 20, 2025.

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1104787977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 30TH ST NW APT 10",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524051465",
            "telephone_number": "917-495-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 30TH ST NW APT 10",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524051465",
            "telephone_number": "917-495-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASY",
        "first_name": "NADEIGE",
        "middle_name": "KIPANGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

All providers in Cedar Rapids, IA · Home Health Aide in Iowa

Sources for this page

Verify at the official NPI Registry.