Individual provider Active NPI

Wendpagnangde Nassa, ADULT COMPANIONSHIP

  • Adult Companion
  • Omaha, NE
National Provider Identifier
1215809579
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
50443 Issued in NE
Practice address
14811 Manderson PLZ Apt 101
Omaha, NE 68116-8209
Phone
(402) 547-8107
NPI assigned
Sep 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 50443 NE Primary

Addresses

Primary practice location

14811 Manderson PLZ Apt 101
Omaha, NE 68116-8209

Mailing address

14811 Manderson PLZ Apt 101
Omaha, NE 68116-8209
Phone (402) 547-8107

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
50443NEMDAdult Companion

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1215809579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14811 MANDERSON PLZ APT 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168209",
            "telephone_number": "402-547-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14811 MANDERSON PLZ APT 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168209",
            "telephone_number": "402-547-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSA",
        "first_name": "WENDPAGNANGDE",
        "credential": "ADULT COMPANIONSHIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NE",
            "license": "50443",
            "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. Last updated by the provider on Sep 19, 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.