Individual provider Active NPI

Anembom Mineku Vegah

  • Nurse's Aide
  • Yukon, OK
National Provider Identifier
1396696936
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
400010630225 Issued in OK
Practice address
4300 Caravel Dr Apt 127
Yukon, OK 73099-3698
Phone
(945) 714-5185
NPI assigned
Feb 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193400000X SINGLE SPECIALTY GROUP 376K00000X 400010630225 OK Primary

Addresses

Primary practice location

4300 Caravel Dr Apt 127
Yukon, OK 73099-3698

Mailing address

4300 Caravel Dr Apt 127
Yukon, OK 73099-3698

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
400010630225OKMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1396696936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 CARAVEL DR APT 127",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 CARAVEL DR APT 127",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993698",
            "telephone_number": "945-714-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGAH",
        "first_name": "ANEMBOM",
        "middle_name": "MINEKU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": "OK",
            "license": "400010630225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.