Angela Kara Brase, RN – School Registered Nurse

Key facts

NPI: 1295293801
Entity type: Individual (NPI type 1)
Primary specialty: School Registered Nurse 163WS0200X
License: 74233 (NE)
Practice address: 106 N Juniper Ave
Davenport, NE 68335-3010
Phone: (402) 364-2225
Fax: (402) 364-2477
NPI assigned: Mar 4, 2019
Sex: Female
Sole proprietor: Yes

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.

Bruning-Davenport Unified School District Local Education Agency (LEA) · Davenport, NE · NPI 1265164479

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Registered Nurse

State licenses

License	State	Type	Specialty
74233	NE	MD	School Registered Nurse

Practice roles

Organization	Specialty	Status	New patients
Bruning-Davenport Unified School District		Past since Jul 3, 2022	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
School Registered Nurse	163WS0200X	74233	NE	Yes

Addresses

Primary practice location

106 N Juniper Ave
Davenport, NE 68335-3010

Mailing address

2369 Road 5000
Davenport, NE 68335-9442
Phone (402) 364-2496

Other identifiers

Identifier	Type	State	Issuer
74233	Other	NE	STATE OF NEBRASKA

Other providers in Davenport, NE

All providers in Davenport, NE · School Registered Nurse in Nebraska

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.