Individual provider Active NPI

Akumbom Ngwa Neba

  • Nurse's Aide
  • West Fargo, ND
National Provider Identifier
1801609110
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
64447 Issued in ND
Practice address
1524 4TH Ave E
West Fargo, ND 58078-4502
Phone
(513) 344-3602
NPI assigned
Jan 30, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X 64447 ND Primary

Addresses

Primary practice location

1524 4TH Ave E
West Fargo, ND 58078-4502

Mailing address

1524 4TH Ave E
West Fargo, ND 58078-4502
Phone (513) 344-3602

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
64447NDMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1801609110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 4TH AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580784502",
            "telephone_number": "513-344-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 4TH AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580784502",
            "telephone_number": "513-344-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEBA",
        "first_name": "AKUMBOM",
        "middle_name": "NGWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "ND",
            "license": "64447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.