Individual provider Active NPI

Faganda Koite

  • Day Training/Habilitation Specialist
  • Omaha, NE
National Provider Identifier
1891581674
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Practice address
9814 M St
Omaha, NE 68127-2056
Phone
(402) 444-4530
NPI assigned
Apr 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X Primary

Addresses

Primary practice location

9814 M St
Omaha, NE 68127-2056

Mailing address

4715 S 132ND St
Omaha, NE 68137-1899
Phone (402) 444-4530

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Nebraska Human Services Agency CurrentSince Apr 20, 2025 Accepting new patients
Richard M Buttner DPT PC PastSince Apr 20, 2025 Accepting new patients

Locations

9814 M St
Omaha, NE 68127
Phone (402) 444-3368

4715 S 132nd St
Omaha, NE 68137
Phone (402) 444-4530

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1891581674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 S 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371899",
            "telephone_number": "402-444-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9814 M ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681272056",
            "telephone_number": "402-444-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOITE",
        "first_name": "FAGANDA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "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 17, 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.