Brooke M Nykamp

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8610 Brentwood Dr Ste 1
La Vista, NE 68128-3377

Phone

(402) 916-4539

Fax

(402) 403-5857

NPI assigned

Jan 22, 2020

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

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1245860832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 GOLDEN GATE DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462837",
            "telephone_number": "402-916-4539",
            "fax_number": "402-403-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 BRENTWOOD DR STE 1",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283377",
            "telephone_number": "402-916-4539",
            "fax_number": "402-403-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYKAMP",
        "first_name": "BROOKE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in La Vista, NE
• Providers in La Vista, NE by specialty
• Behavior Technician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.