KIMMY RENEA BRECKENRIDGE (NPI# 1366080830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366080830 |
Entity Type | Individual |
Full Name | KIMMY RENEA BRECKENRIDGE |
Credential | LPN |
Practice Address |
5304 Sw Tyler Ave Lawton OK 73505-5750 |
Practice Telephone | 5803518520 |
Mailing Telephone | 5803518520 |
Enumeration Date | 2019-12-16 |
Last Update Date | 2019-12-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164X00000X | Licensed Vocational Nurse | 70881 | OK | Nursing Service Providers |
Street Address |
5304 SW TYLER AVE |
City | LAWTON |
State | OK |
Zip Code | 73505-5750 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
Find all providers in zip 73505 |
Taxonomy Code | 164X00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Vocational Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821633827 | Adriana Avalos | Licensed Vocational Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2019-11-13 |
1053769927 | Kadian Jackson | Licensed Vocational Nurse | 4301 Wilson St, Mcu, Lawton, OK 73503-4472 | 2016-06-01 |
1316318231 | Marilyn Kassanavoid | Licensed Vocational Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2015-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063058295 | Elizabeth Kay Ross | Licensed Vocational Nurse | 220 N Glover St, Hollis, OK 73550-3808 | 2019-11-22 |
1922500487 | Katherine Jean Blevins | Licensed Vocational Nurse | 2710 Highway 70, Hastings, OK 73548 | 2018-03-01 |
1164661096 | Traci Lynn Johnson | Licensed Vocational Nurse | 71 Mdg, 527 Gott Rd, Vance Afb, OK 73705-5105 | 2009-02-17 |
1083274690 | Debbie Wrenn | Licensed Vocational Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2019-06-17 |
1265907752 | Annabelle St. John | Licensed Vocational Nurse | 202 W Plum St, Durant, OK 74701-3320 | 2018-10-10 |
1477040020 | Precious Hill | Licensed Vocational Nurse | 1101 W Cedar St, Durant, OK 74701-4249 | 2018-04-19 |
1215385257 | Crystal Pulido | Licensed Vocational Nurse | 4301 Wilson St, Maternal Child Unit, Fort Sill, OK 73503-4472 | 2016-06-01 |
1861865792 | Katherine Dorita Rhodes | Licensed Vocational Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2015-10-30 |
1518393610 | Emily Nicole Delgadillo | Licensed Vocational Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2013-09-20 |
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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.