Individual provider Active NPI

Ngozi Wogugu, RN

  • Registered Nurse
  • Omaha, NE
National Provider Identifier
1720513914
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
66324 Issued in NE
Practice address
2814 N 169TH St
Omaha, NE 68116-2689
Phone
(402) 896-9988
Fax
(402) 932-4854
NPI assigned
Apr 25, 2017
Last updated
Apr 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 66324 NE Primary

Addresses

Primary practice location

2814 N 169TH St
Omaha, NE 68116-2689

Mailing address

10011 J St
Omaha, NE 68127-1106
Phone (402) 896-9988

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
66324NEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic PastSince Oct 15, 2023 Accepting new patients
Mosaic PastSince Oct 1, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1720513914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 J ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271106",
            "telephone_number": "402-896-9988",
            "fax_number": "402-896-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 N 169TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162689",
            "telephone_number": "402-896-9988",
            "fax_number": "402-932-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOGUGU",
        "first_name": "NGOZI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "66324",
            "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 Apr 25, 2017; 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.