Randi Nicole Broekemeier, RN
Individual provider Active NPI Registered Nurse · Kearney, NE
NPI 1992561674 · NPPES record last updated Feb 21, 2024
Key facts
- NPI
- 1992561674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 71856 (NE)
- Practice address
- 6009 K Avenue
Kearney, NE 68847 - Phone
- (308) 233-1128
- NPI assigned
- Feb 21, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 71856 | NE | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 71856 | NE | Yes |
Addresses
Primary practice location
6009 K Avenue
Kearney, NE 68847
Mailing address
6009 K Avenue
Kearney, NE 68847
Phone (308) 233-1128
Other names
- Miss Randi Nicole Reimers
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2024. 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.