BREANNA WEISBROD (NPI# 1235517673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235517673 |
| Entity Type | Individual |
| Full Name | BREANNA WEISBROD |
| Credential | APRN |
| Practice Address |
501 State St N Waseca MN 56093 |
| Mailing Address |
501 State St N Waseca MN 56093-2811 |
| Practice Telephone | 5078351210 |
| Mailing Telephone | 5078351210 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WX0200X |
Registered Nurse Specialization: Oncology |
127626 | KS | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6943 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
1697001 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
76387 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3901 Rainbow Blvd, Kansas City, KS 661608500 | 9139456952 |
| Street Address |
501 STATE ST N |
| City | WASECA |
| State | MN |
| Zip Code | 56093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316248 | Lori R Schumacher | Physician Assistant | 501 State St N, Waseca, MN 56093-2811 | 2005-09-14 |
| 1902468507 | Luke Crance | Physician Assistant | 501 State St N, Waseca, MN 56093-2811 | 2019-07-03 |
| 1962919365 | Abigail Ann Bartz | Nurse Practitioner | 501 State St N, Waseca, MN 56093-2811 | 2018-01-07 |
| 1023520269 | Regan Marie Kriechbaum | Physical Therapist | 501 State St N, Waseca, MN 56093-2811 | 2017-10-27 |
| 1265943914 | Ryan Craig Buchele | Physical Therapist | 501 State St N, Waseca, MN 56093-2811 | 2017-10-21 |
| 1801307574 | Kelsey Nicole Raddawi | Physical Therapist | 501 State St N, Waseca, MN 56093-2811 | 2017-10-20 |
| 1053822734 | Elizabeth Thon | Physical Therapist | 501 State St N, Waseca, MN 56093-2811 | 2017-10-20 |
| 1710498506 | Joshua Douglas Berndt | Physical Therapist | 501 State St N, Waseca, MN 56093-2811 | 2017-10-19 |
| 1639607344 | Everett Russell Kalcec | Family Medicine | 501 State St N, Waseca, MN 56093-2811 | 2017-05-24 |
| 1518494251 | Mayo Clinic Health System-southwest Minnesota Region | Clinic/Center | 501 State St N, Waseca, MN 56093-2811 | 2017-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437789781 | Anita Mae Thompson | Technician | 41306 120th St, Waseca, MN 56093 | 2020-01-24 |
| 1124572490 | Jordan Wong | Dentist | 1000 Sw University Dr, Waseca, MN 56093 | 2016-08-04 |
| 1952649451 | Alee Services | In Home Supportive Care | 37437 Highway 13 N., Waseca, MN 56093 | 2013-01-18 |
| 1437206679 | John Max Gutfleisch | Optometrist | 1111 2nd St Ne, Waseca, MN 56093 | 2007-01-03 |
| 1275610008 | David Anthony Arnfelt | Chiropractor | 1501 North State St, Waseca, MN 56093 | 2006-11-01 |
| 1639284847 | Rebecca R Thompson | Dentist | 1504 4th St. Ne, Waseca, MN 56093 | 2006-08-20 |
| 1144264938 | Timothy Jon Flor | Dentist | 1505 North State Street, Waseca, MN 56093 | 2006-06-15 |
| 1942277165 | Sandra J. Lauring | Family Medicine | Waseca Medical Center - Mayo Health System, 501 N State St, Waseca, MN 56093 | 2006-03-07 |
| 1740256668 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 501 North State Street, Waseca, MN 56093 | 2006-02-28 |
| 1356792808 | Mayo Clinic Health System | Clinic/Center | 501 N State St, Waseca, MN 56093 | 2016-06-27 |
| Find all providers in zip 56093 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962919365 | Abigail Ann Bartz | Nurse Practitioner | 501 State St N, Waseca, MN 56093-2811 | 2018-01-07 |
| 1073063889 | Judith Onduso | Nurse Practitioner | 501 State St N, Waseca, MN 56093-2811 | 2016-10-05 |
| 1811364649 | Jill Elizabeth Christensen | Nurse Practitioner | 501 State St N, Waseca, MN 56093-2811 | 2015-08-27 |
| 1184970477 | Katie Margaret Swanson | Nurse Practitioner | 501 State St N, Waseca, MN 56093 | 2012-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466368 | Amalia Jo Folland Harvey | Nurse Practitioner | 19883 Evensong Ct, Farmington, MN 55024-8688 | 2020-10-29 |
| 1710586235 | Jackelyn Laura Peterson | Nurse Practitioner | 10101 Bren Rd E Unit 345, Minnetonka, MN 55343-0060 | 2020-10-26 |
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
| 1063010304 | Kalie R Mccauley | Nurse Practitioner | 11452 Brook Rd Nw, Elk River, MN 55330-8739 | 2020-10-09 |
| 1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
| 1285231621 | Karlu Dorleh | Nurse Practitioner | 14151 Territorial Rd Unit 212, Maple Grove, MN 55369-5725 | 2020-10-08 |
| 1447857669 | Kimberly Dawn Bursch-tewalt | Nurse Practitioner | 11884 237th Ave Nw, Elk River, MN 55330-8255 | 2020-10-01 |
| 1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
| 1568078616 | Joanna Kay Rehm | Nurse Practitioner | 3025 Eagandale Pl Apt 338, Eagan, MN 55121-1236 | 2020-09-23 |
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| 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.