Individual provider Active NPI

Achan Oubang Agit

  • Nurse's Aide
  • Omaha, NE
National Provider Identifier
1710899562
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
169514 Issued in NE
Practice address
9910 N 48TH St Ste 204
Omaha, NE 68152-1548
Phone
(402) 799-1799
Fax
(402) 819-0949
NPI assigned
Sep 17, 2026
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 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 Aide 376K00000X 169514 NE Primary

Addresses

Primary practice location

9910 N 48TH St Ste 204
Omaha, NE 68152-1548

Mailing address

9910 N 48TH St Ste 204
Omaha, NE 68152-1548
Phone (402) 799-1799

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
169514NEMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1710899562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 N 48TH ST STE 204",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681521548",
            "telephone_number": "402-799-1799",
            "fax_number": "402-819-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 N 48TH ST STE 204",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681521548",
            "telephone_number": "402-799-1799",
            "fax_number": "402-819-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGIT",
        "first_name": "ACHAN",
        "middle_name": "OUBANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NE",
            "license": "169514",
            "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 Sep 17, 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.