BREANNA ANDERSON (NPI# 1194268789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194268789 |
| Entity Type | Individual |
| Full Name | BREANNA ANDERSON |
| Credential | ARNP |
| Practice Address |
5270 Babcock St Ne Suite 1 Palm Bay FL 32905-8630 |
| Mailing Address |
Po Box 1137 Melbourne FL 32902-1137 |
| Practice Telephone | 3217225959 |
| Practice Fax Number | 3217225960 |
| Mailing Telephone | 3219529696 |
| Mailing Fax Number | 3219527937 |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2019-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9349126 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN9349126 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641515 | Breanna Anderson | Physical Therapist | 4620 N Clark St, Chicago, IL 60640-4620 | 2019-07-22 |
| 1962976894 | Breanna Suzanne Anderson | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2019-01-14 |
| 1467922088 | Breanna Anderson | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2018-11-26 |
| 1588187728 | Breanna Anderson | Technician | 1511 Fort Davis Pl Se, Washington, DC 20020-6027 | 2017-07-19 |
| 1417399924 | Breanna Leigh Anderson | Behavioral Analyst | 411 S Magnolia Ave, El Cajon, CA 92020-5212 | 2013-07-25 |
| Street Address |
5270 BABCOCK ST NE SUITE 1 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32905-8630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114910965 | Thomas L Garvin | Family Medicine | 5270 Babcock St Ne, Ste 1, Palm Bay, FL 32905-8630 | 2005-08-26 |
| 1639479900 | Jennifer Marie Bloodworth | Nurse Practitioner | 5270 Babcock St Ne, Suite 1, Palm Bay, FL 32905-8630 | 2010-11-02 |
| 1245546167 | Gary Lee Robinson | Internal Medicine | 5270 Babcock St Ne, Suite 1, Palm Bay, FL 32905-8630 | 2010-08-30 |
| 1770898330 | Mary Rose Baes Barrios-banal | Pediatrics | 5270 Babcock St Ne, Suite 1, Palm Bay, FL 32905-8630 | 2010-08-06 |
| 1124197959 | Francis Lamothe | Internal Medicine | 5270 Babcock St Ne, Suite 1, Palm Bay, FL 32905-8630 | 2006-11-07 |
| 1184713083 | Monica Lynn Cline | Psychologist | 5270 Babcock St Ne, Suite 1, Palm Bay, FL 32905-8630 | 2006-10-11 |
| 1992750962 | Brevard Health Alliance | Clinic/Center | 5270 Babcock St Ne, Suite 1, Palm Bay, FL 32905-8630 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
| 1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
| 1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
| 1699266361 | Coastal Visioncare LLC | Optometrist | 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 | 2018-05-29 |
| 1184173981 | Jean Elyse Gautreaux | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 | 2016-09-22 |
| 1174901607 | Reginald Shannon Seecharan | Developmental Therapist | 700 James Cir Ne, Palm Bay, FL 32905 | 2015-05-17 |
| 1881091254 | Courtney Taft | Physical Therapy Assistant | 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 | 2014-12-01 |
| 1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
| 1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
| 1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
| Find all providers in zip 32905 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558370 | Marisol Wilke | Nurse Practitioner | 2696 Tolman Ave Se, Palm Bay, FL 32909-7220 | 2020-11-05 |
| 1881204329 | Teige Jeanette Ballweber | Nurse Practitioner | 2018 Windbrook Dr Se, Palm Bay, FL 32909-6838 | 2020-08-07 |
| 1427555838 | Tracy Jessica Rapp | Nurse Practitioner | 1051 Port Malabar Blvd Ne Ste 6, Palm Bay, FL 32905-5153 | 2018-04-11 |
| 1366888422 | Kristie M Houle | Nurse Practitioner | 3238 Warsaw Ave, Palm Bay, FL 32909 | 2013-05-16 |
| 1215554746 | Dawn Ann Stewart-brown | Nurse Practitioner | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2020-06-30 |
| 1770128530 | Natalie Swartz | Nurse Practitioner | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2019-11-15 |
| 1235784687 | Michelle Swann | Nurse Practitioner | 1810 Eldron Blvd Se, Palm Bay, FL 32909-6831 | 2019-08-02 |
| 1104488337 | Rose Philius | Nurse Practitioner | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2019-07-09 |
| 1659839579 | Crystal Gail Ault | Nurse Practitioner | 1810 Eldron Blvd Se, Palm Bay, FL 32909 | 2019-03-10 |
| 1255803631 | Kristine Marie Isnardi | Nurse Practitioner | 1810 Eldron Blvd Se, Palm Bay, FL 32909 | 2018-12-22 |
| Find all providers in PALM BAY | ||||
Please comment or provide details below to improve the information on BREANNA ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.