Individual provider Active NPI

Napelis Missi Olawole Tidjani

  • Registered Nurse
  • Omaha, NE
National Provider Identifier
1962201756
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
86552 Issued in NE
Practice address
6550 S 84TH St Ste 100
Omaha, NE 68127-4100
Phone
(501) 791-6086
NPI assigned
Mar 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X
Adult Companion 372600000X
Registered Nurse 163W00000X 86552 NE Primary

Addresses

Primary practice location

6550 S 84TH St Ste 100
Omaha, NE 68127-4100

Mailing address

8903 N 161St Ave
Bennington, NE 68007-6417
Phone (501) 791-6086

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
86552NEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Independent Living Center CurrentSince Mar 20, 2025 Accepting new patients

Locations

6550 S 84th St
Ste 100
Ralston, NE 68127
Phone (402) 263-9400

Organizations & group practices 1

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": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1962201756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8903 N 161ST AVE",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "680076417",
            "telephone_number": "501-791-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 S 84TH ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681274100",
            "telephone_number": "501-791-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDJANI",
        "first_name": "NAPELIS MISSI",
        "middle_name": "OLAWOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "86552",
            "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 Mar 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.