Active NPI
Megan Beth Brokaw, RN
- School Registered Nurse
- North Bend, NE
National Provider Identifier
1558828806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 74114
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 74114 | NE | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Bend Central Junior-Senior High School School District 95 | Current | 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.
-
- Local Education Agency (LEA)
- North Bend, NE
- NPI 1568123164
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.