Active NPI
Jakeyia Bogard
- Nurse's Aide
- Omaha, NE
National Provider Identifier
1295532182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 100227
- Practice address
- 11635 Arbor St
Omaha, NE 68144-5000 - Phone
- (402) 506-9368
- NPI assigned
- Feb 27, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 100227 | NE | Primary |
Addresses
Primary practice location
11635 Arbor St
Omaha, NE 68144-5000
Mailing address
4317 N 54TH St
Omaha, NE 68104-2819
Phone (402) 810-2334
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100227 | NE | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1295532182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4317 N 54TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681042819",
"telephone_number": "402-810-2334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11635 ARBOR ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445000",
"telephone_number": "402-506-9368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGARD",
"first_name": "JAKEYIA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-02-27",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NE",
"license": "100227",
"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 Feb 27, 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.