Tamara Lyn Braley, RN, AGPCNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

111705 Issued in NE

Practice address

4968 S 188TH Ave
Omaha, NE 68135-3520

Phone

(402) 669-8320

NPI assigned

Aug 21, 2014

Last updated

Aug 21, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Waterfield Health, LLC

  • Nurse Practitioner
  • Kearney, NE
  • NPI 1821853037
  Medicare reassignment
• Life Line Community Healthcare - Kansas, PA

  dba Life Line Community Healthcare

  • Community Health/Public Health Clinical Nurse Specialist
  • Independence, OH
  • NPI 1942629746
  NPD

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1063811511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4968 S 188TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353520",
            "telephone_number": "402-669-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4968 S 188TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353520",
            "telephone_number": "402-669-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRALEY",
        "first_name": "TAMARA",
        "middle_name": "LYN",
        "credential": "RN, AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NE",
            "license": "111705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Joseph Braith, M.D. M.P.H.
• Stephanie M Braith, PA-C
• Sydney Braithwaite
• Taylor Morgan Brake
• Tara R Brakke, MD
• Mary Brammann
• Jennifer Lynn Brammeier, OD
• Miranda Brammeier
• Jayden Brammier, PA
• Amy Branaugh

• Adult Health Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Adult Health Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.