Mariam Sandaogo

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

11672 Burt St Apt M1
Omaha, NE 68154-1527

Phone

(402) 504-2641

NPI assigned

Mar 12, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mariam Ouedraogo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1124827969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11672 BURT ST APT M1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541527",
            "telephone_number": "402-403-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11672 BURT ST APT M1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541527",
            "telephone_number": "402-504-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDAOGO",
        "first_name": "MARIAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAM",
            "last_name": "OUEDRAOGO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bethany Brooke Sand, RN
• Elizabeth Louise Sand, D.D.S.
• Joselyn M Sand
• Mitchell Gregory Sand, MD
• Lindsey Sandall
• Lindsey N Sandau-Tomlin, PT, DPT
• Amanda L Sandbloom, PT, DPT
• Erica Sandell, M.S.
• Kayleigh Marie Sander
• Marie Sander, RRT/RPFT

• Adult Companion in Omaha, NE
• Providers in Omaha, NE by specialty
• Adult Companion in Nebraska

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

Verify at the official NPI Registry.