Jackline Jerusa Ayuko, REGISTERED NURSE

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

28260037A Issued in IN

Practice address

Aureus Medical Group
13609 California St.
Omaha, NE 68154-5260

Phone

(402) 891-1118

NPI assigned

Jun 29, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1841977105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 COVENTRY PKWY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047105",
            "telephone_number": "321-444-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AUREUS MEDICAL GROUP",
            "address_2": "13609 CALIFORNIA ST.",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545260",
            "telephone_number": "402-891-1118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7843 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044137",
            "country_code": "US",
            "telephone_number": "260-435-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYUKO",
        "first_name": "JACKLINE",
        "middle_name": "JERUSA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "IN",
            "license": "28260037A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Joseph Aylward, M.D.
• Oludayo Oluseun Ayodele
• Maria G Ayon-Blanco
• Alicia Ayon
• Nagi T Ayoub, M.D.
• Sarah Khozema Hussain Azad, MD
• Azalee Helping Hands
• Gbenakpon Anastase Azanhoue
• Aime Vaubanson Aziadouvo
• Stephanie Azima

• Nursing Home Administrator in Omaha, NE
• Providers in Omaha, NE by specialty
• Nursing Home Administrator in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.