Dede C Attiogbe-Agbemadon, APRN-NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

114726 Issued in NE

Practice address

7445 N 89TH Ave
Omaha, NE 68122-5259

Phone

(402) 686-1020

NPI assigned

Apr 17, 2023

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

Other names 1

• Mrs. Dede C Attiogbe-Agbemadon Professional name

Medicare fee-for-service enrollment

Enrolled in MI, OH, NE, CA4 enrollments

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Health Plan of California, Inc.

  • Health Maintenance Organization
  • Diamond Bar, CA
  • NPI 1386714772
  Medicare reassignment NPD
• Molina Healthcare of California

  • Health Maintenance Organization
  • Long Beach, CA
  • NPI 1194811760
  Medicare reassignment NPD
• Molina Care Connections, LLC.

  • Nurse Practitioner
  • Long Beach, CA
  • NPI 1407243223

  MI, NE, OH

  Medicare reassignment
• Universal Care

  • Pediatrics Physician
  • Long Beach, CA
  • NPI 1376632877
  NPD

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1700572393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 N 89TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681225259",
            "telephone_number": "402-686-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 N 89TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681225259",
            "telephone_number": "402-686-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 N 96th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681142767",
            "country_code": "US",
            "telephone_number": "402-898-8000",
            "fax_number": "402-898-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATTIOGBE-AGBEMADON",
        "first_name": "DEDE",
        "middle_name": "C",
        "credential": "APRN-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEDE",
            "last_name": "ATTIOGBE-AGBEMADON",
            "middle_name": "C",
            "prefix": "MRS.",
            "credential": "APRN-NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Attachment and Trauma Center of Nebraska, LLC
• Attain Health Omaha Medical and Chiropractic, LLC
• Jinae Patricia Attanasio, PTA
• Aaron Atteberry
• Allyson Atteberry
• Hanou Attiogbe
• Unique Atwater
• Heather Nina Atwood Heredia, PLMHP
• Javier Atwood
• Mary Jo Atwood, LICENSED MENTAL HEAL

• Family Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.