Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angela Jade Beavers, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376838045

Angela Jade Beavers, MD is a Student in an Organized Health Care Education/Training Program in Omaha, Nebraska. Licensed in Nebraska, South Dakota and Texas. Registered with an NPI since 2011.

Licensed in
NE, SD, TX
In the registry since
2011
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8200 Dodge St
Omaha, NE 68114-4113
Phone: (402) 250-9233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Radiology Physician (primary) Taxonomy 2085P0229X · Licence 28901 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 6650 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (SD)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence Q7531 (TX)

Record details

NPI number1376838045
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2011
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025
Mailing address1509 N 129th Avenue Cir, Omaha, NE 68154-1072

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