Individual provider Active NPI

Megan Beth Brokaw, RN

  • School Registered Nurse
  • North Bend, NE
National Provider Identifier
1558828806
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
74114 Issued in NE
Practice address
1320 Walnut St
North Bend, NE 68649-5016
Phone
(402) 652-3268
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 74114 NE Primary

Addresses

Primary practice location

1320 Walnut St
North Bend, NE 68649-5016

Mailing address

1320 Walnut St
North Bend, NE 68649-5016
Phone (402) 652-3268

Other names 1

  • Megan Beth Meyer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL nbtigers.org Direct

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
74114NEMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Bend Central Junior-Senior High School School District 95 CurrentSince Jan 17, 2022 Accepting new patients

Locations

1320 Walnut St
North Bend, NE 68649
Phone (402) 652-3268

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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1558828806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WALNUT ST",
            "city": "NORTH BEND",
            "state": "NE",
            "postal_code": "686495016",
            "telephone_number": "402-652-3268",
            "fax_number": "402-652-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WALNUT ST",
            "city": "NORTH BEND",
            "state": "NE",
            "postal_code": "686495016",
            "telephone_number": "402-652-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROKAW",
        "first_name": "MEGAN",
        "middle_name": "BETH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "74114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nbtigers.org",
            "affiliation": "N",
            "endpointDescription": "Email secure",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1320 Walnut St",
            "city": "North Bend",
            "state": "NE",
            "country_code": "US",
            "postal_code": "686495016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "MEYER",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Bend, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.