Awa Pissinaba

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

12602 Ames PLZ Apt 105
Omaha, NE 68164-1890

Phone

(256) 613-3414

NPI assigned

Dec 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1740097385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12602 AMES PLZ APT 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681641890",
            "telephone_number": "256-613-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 AMES PLZ APT 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681641890",
            "telephone_number": "256-613-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISSINABA",
        "first_name": "AWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel J Pirruccello, MD
• Laurel Piscatelli
• Anton F Piskac, M.D.
• Ellen Margaret Piskac, RN,EDD
• Nathan Daniel Piskorski
• Tyler S Pistone, MD
• Mitchell M. Pitlick, M.D.
• Marcia Pitlor, CPC LMHP
• Dick Pitner, M.D.
• Sheryl L Pitner, MD

• Adult Companion in Omaha, NE
• Providers in Omaha, NE by specialty
• Adult Companion in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.