Mikaela Obrien, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

93695 Issued in NE

Practice address

110 S Visiting Eagle St
Niobrara, NE 68760-7201

Phone

(402) 857-2300

Fax

(402) 857-2910

NPI assigned

Jan 27, 2023

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

Other names 1

• Mikaela Braunsroth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1992411458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S VISITING EAGLE ST",
            "city": "NIOBRARA",
            "state": "NE",
            "postal_code": "687607201",
            "telephone_number": "402-857-2300",
            "fax_number": "402-857-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S VISITING EAGLE ST",
            "city": "NIOBRARA",
            "state": "NE",
            "postal_code": "687607201",
            "telephone_number": "402-857-2300",
            "fax_number": "402-857-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "MIKAELA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NE",
            "license": "93695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKAELA",
            "last_name": "BRAUNSROTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chanda Mueller
• Tamara Nelson, RN
• Niobrara Public Schools
• Niobrara Rural Fire District (Niobrara Vol. Rescue Unit)
• Colleen Carol Novak
• Amy Pinkelman, RN
• Stephani Sue Reinhardt, RN
• Teresa Remick, MSW, CSW, LMHP
• Julie M Reynolds
• Sacred Heart Health Services (Avera Niobrara Clinic)

• General Practice Registered Nurse in Niobrara, NE
• Providers in Niobrara, NE by specialty
• General Practice Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.