Mae Nekoba, LLC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

Legal business name

MAE NEKOBA, LLC

Practice address

4020 E Russell Rd
Las Vegas, NV 89120-3802

Phone

(702) 780-1313

NPI assigned

May 1, 2024

Organization subpart

No

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

Authorized official

Name

Mae Nekoba, APRNNPI 1265887962

Title

Owner

Phone

(702) 485-3593

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mae Suma Nekoba, MSN, AGACNP-BC, APRN

  • Acute Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1265887962
  NPD Authorized official

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1730936451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 E RUSSELL RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203802",
            "telephone_number": "702-485-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 E RUSSELL RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203802",
            "telephone_number": "702-780-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAE NEKOBA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "NEKOBA",
        "authorized_official_first_name": "MAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-485-3593",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emeka J Madu, ACNP
• Chimezie Maduka, RN
• Godwin O Maduka, MD, PHARMD
• Eunices Madula-Fernandez
• Brandon Madura
• Calvin Maefield
• Gabriella Marzella Maefield
• Eberhard Johannes Maendel, PA-C
• Thomas Maeng, D.D.S.
• Ashley Maertz, OTR/L

• Acute Care Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Acute Care Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.