Active NPI
Nwando Audrey Anyaoku, MBBS, MD, MPH
- Pediatrics Physician
- Omaha, NE
National Provider Identifier
1144245960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 28227
- Practice address
- 601 N 30TH St
Omaha, NE 68131-2128 - Phone
- (402) 717-0909
- Fax
- (402) 717-6069
- NPI assigned
- Jul 13, 2006
- Last updated
- Oct 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA70905 | NJ | |
| Pediatrics Physician | 208000000X | 28227 | NE | Primary |
Addresses
Primary practice location
601 N 30TH St
Omaha, NE 68131-2128
Mailing address
PO Box 642117
Omaha, NE 68164-8117
Phone (402) 398-6254
Other practice location 1
4744 41st Ave SW Ste 101
Seattle, WA 98116-4566
Phone (206) 320-5780
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nanyaoku1041027@wm.providencedirect.org | Direct |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA70905 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Past | Accepting new patients |
Interoperability endpoints
- nanyaoku1041027@wm.providencedirect.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CHI Health Clinic
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1144245960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 642117",
"city": "OMAHA",
"state": "NE",
"postal_code": "681648117",
"telephone_number": "402-398-6254",
"fax_number": "402-829-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312128",
"telephone_number": "402-717-0909",
"fax_number": "402-717-6069"
}
],
"practiceLocations": [
{
"address_1": "4744 41st Ave SW Ste 101",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981164566",
"country_code": "US",
"telephone_number": "206-320-5780",
"fax_number": "206-320-5794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANYAOKU",
"first_name": "NWANDO",
"middle_name": "AUDREY",
"name_prefix": "Dr.",
"credential": "MBBS, MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA70905",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "28227",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nanyaoku1041027@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4744 41st Ave SW Ste 101",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981164566",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.