Active NPI
Consolar Ngang Fonkeng
- Nurse's Aide
- Omaha, NE
National Provider Identifier
1699589440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 62559
- Practice address
- 5328 N 47TH Ave
Omaha, NE 68104-1406 - Phone
- (402) 707-8373
- NPI assigned
- Feb 3, 2025
- Sex
- Male
- 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 | 62559 | NE | Primary |
Addresses
Primary practice location
5328 N 47TH Ave
Omaha, NE 68104-1406
Mailing address
5328 N 47TH Ave
Omaha, NE 68104-1406
Phone (402) 707-8373
Other practice location 1
5328 N 47th Ave
Omaha, NE 68104-1406
Phone (402) 707-8373
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 |
|---|---|---|---|
| 62559 | NE | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1699589440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5328 N 47TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681041406",
"telephone_number": "402-707-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5328 N 47TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681041406",
"telephone_number": "402-707-8373"
}
],
"practiceLocations": [
{
"address_1": "5328 N 47th Ave",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681041406",
"country_code": "US",
"telephone_number": "402-707-8373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FONKENG",
"first_name": "CONSOLAR",
"middle_name": "NGANG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-03",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "NE",
"license": "62559",
"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 3, 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.