BREANNE HABERMAN (NPI# 1366003899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366003899 |
| Entity Type | Individual |
| Full Name | BREANNE HABERMAN |
| Other Name | BREANNE HABERMAN |
| Practice Address |
19930 Ballinger Way Ne Shoreline WA 98155-1223 |
| Practice Telephone | 4257782220 |
| Practice Fax Number | 4257787701 |
| Mailing Telephone | 4257782220 |
| Mailing Fax Number | 4257787701 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP60919257 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE OF WASHINGTON - LICENSE | AP60919257 | 01 |
| Street Address |
19930 BALLINGER WAY NE |
| City | SHORELINE |
| State | WA |
| Zip Code | 98155-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467493890 | Northwest Hand Specialists, Inc., P.s. | Orthopaedic Surgery | 19930 Ballinger Way Ne, Shoreline, WA 98155-1223 | 2006-06-09 |
| 1942791652 | Nora Delavari | Dietitian, Registered | 19930 Ballinger Way Ne, Shoreline, WA 98155-1223 | 2018-05-29 |
| 1578097705 | Kimberly Haban Morris | Dietitian, Registered | 19930 Ballinger Way Ne, Shoreline, WA 98155-1223 | 2017-04-14 |
| 1801241690 | Bradley Butterfield | Counselor | 19930 Ballinger Way Ne, Shoreline, WA 98155-1223 | 2016-04-28 |
| 1922477645 | Puget Sound Surgical Center | Clinic/Center | 19930 Ballinger Way Ne, Shoreline, WA 98155-1223 | 2015-09-23 |
| 1922486356 | Puget Sound Surgical Center | Marriage & Family Therapist | 19930 Ballinger Way Ne, Shoreline, WA 98155-1223 | 2015-05-18 |
| 1275931982 | Renovo Medical Group | Family Medicine | 19930 Ballinger Way Ne, Shoreline, WA 98155-1223 | 2014-12-11 |
| 1043612690 | Julia Engel | Dietitian, Registered | 19930 Ballinger Way Ne, Shoreline, WA 98155-1223 | 2014-09-25 |
| 1407267479 | Timothy Dennis Maland | Registered Nurse | 19930 Ballinger Way Ne, Shoreline, WA 98155-1223 | 2014-05-13 |
| 1649680547 | Renovo Medical Group | Internal Medicine | 19930 Ballinger Way Ne, Shoreline, WA 98155-1223 | 2014-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922575703 | Dale Worrell | Counselor | Center for Human Services, 17018 15th Ave Ne, Shoreline, WA 98155 | 2018-10-30 |
| 1770060568 | Jason Freed | Occupational Therapist | 1250 Ne 145th St., Shoreline, WA 98155 | 2018-07-24 |
| 1497208771 | Mirit Markowitz | Counselor | 14803 15 Ave Ne, Seattle, WA 98155 | 2016-08-03 |
| 1003207788 | Jessica Hinckley | Counselor | 17018 15tth Ave Ne, Shoreline, WA 98155 | 2015-02-17 |
| 1407119001 | Erika Tydor | Optometrist | 18021 15th Ave Ne Suite 100, Shoreline, WA 98155 | 2012-06-19 |
| 1891075917 | Kieran Joseph Mcmanimon | Massage Therapist | 18724 35th Ave Ne, Lake Forest Park, WA 98155 | 2011-08-20 |
| 1376841270 | Kym Kolb | Massage Therapist | 17908 15th Ave Ne, Shoreline, WA 98155 | 2011-03-02 |
| 1205069333 | Acclaim Body Care, LLC | Massage Therapist | 17517 15th Ave., Suite B, Shoreline, WA 98155 | 2009-08-24 |
| 1881834570 | Jason Sailesh Dave | Naturopath | 2871 University St, Seattle, WA 98155 | 2009-02-20 |
| 1396918975 | Ashleigh Veronique Schultz | Counselor | 216 Ne 175th Street, Shoreline, WA 98155 | 2008-04-04 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891788238 | Christopher Earle Pamp | Nurse Practitioner | 1355 N 205th St, Shoreline, WA 98133-3215 | 2005-08-30 |
| 1174081046 | Kyle Danielson | Nurse Practitioner | 1355 N 205th St, Shoreline, WA 98133-3215 | 2019-03-08 |
| 1881938512 | Erica Johnson Lybarger | Nurse Practitioner | 1201 N 175th St, Shoreline, WA 98133-5064 | 2012-11-19 |
| 1790921609 | Louise C Dobkins | Nurse Practitioner | 15214 Aurora Ave N, Shoreline, WA 98133-6143 | 2008-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555871 | Katy Jane Kovari | Nurse Practitioner | 2118 N Ruby St, Spokane, WA 99207-5043 | 2020-10-16 |
| 1407454986 | Moore Healthcare Pllc | Nurse Practitioner | 1563 Hemlock Dr, Oak Harbor, WA 98277-3404 | 2020-10-15 |
| 1184222820 | Sidni Brianna Shoemaker | Nurse Practitioner | 4512 N Bessie Ln, Spokane, WA 99212-1793 | 2020-10-14 |
| 1073111902 | Hailey Marie Baker | Nurse Practitioner | 3055 112th Ave Ne Ste 201, Bellevue, WA 98004-2091 | 2020-10-13 |
| 1770180689 | Elizabeth Hague | Nurse Practitioner | 3690 London Loop Ne, Lacey, WA 98516-6401 | 2020-10-04 |
| 1629675699 | Jesse Ballard | Nurse Practitioner | 1410 N Samantha Rd, Liberty Lake, WA 99019-8626 | 2020-10-02 |
| 1316551286 | Jamie Joelle Finnerty | Nurse Practitioner | 910 W 5th Avenue, Suite #1000, Spokane, WA 99204-2902 | 2020-09-08 |
| 1629681523 | Sound Healthworks LLC | Nurse Practitioner | 28807 Redondo Shores Dr S, Des Moines, WA 98198-8243 | 2020-08-28 |
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1689285017 | Carmen Snypp | Nurse Practitioner | 3331 W Holyoke Ave, Spokane, WA 99208-4672 | 2020-08-10 |
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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.