Mary Eyong Eta, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

93728 Issued in NE

Practice address

12670 Fowler Ave
12670 Fowler Ave
Omaha, NE 68164-1998

Phone

(402) 301-2311

NPI assigned

Dec 24, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1417813213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12670 FOWLER AVE",
            "address_2": "12670 FOWLER AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681641998",
            "telephone_number": "402-301-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12670 FOWLER AVE",
            "address_2": "12670 FOWLER AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681641998",
            "telephone_number": "402-301-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETA",
        "first_name": "MARY",
        "middle_name": "EYONG",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-24",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "93728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Omaha, NE
• Providers in Omaha, NE by specialty
• Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.