BREANNA LYNN LEE (NPI# 1376993543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376993543 |
Entity Type | Individual |
Full Name | BREANNA LYNN LEE |
Credential | FNP |
Practice Address |
138 N Dixon Rd Kokomo IN 46901-4154 |
Mailing Address |
8840 Commerce Park Pl Ste E Indianapolis IN 46268-3129 |
Practice Telephone | 7652368282 |
Enumeration Date | 2016-06-17 |
Last Update Date | 2016-07-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71006298A | IN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
71006298 | IN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407402308 | Breanna Lee | Behavioral Analyst | 189 West Schrock Road, Westerville, OH 43081 | 2019-08-15 |
1598284010 | Breanna Lee | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2017-09-15 |
Street Address |
138 N DIXON RD |
City | KOKOMO |
State | IN |
Zip Code | 46901-4154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437153145 | Melanie Lynn Bozard | Internal Medicine | 138 N Dixon Rd, Kokomo, IN 46901-4154 | 2005-06-09 |
1982237699 | Elizabeth Ann Fuller | Nurse Practitioner | 138 N Dixon Rd, Kokomo, IN 46901-4154 | 2020-02-20 |
1366002594 | Alexis Holt | Audiologist | 138 N Dixon Rd, Kokomo, IN 46901-4154 | 2019-06-19 |
1619473873 | Nathan Wheeler | Nurse Practitioner | 138 N Dixon Rd, Kokomo, IN 46901 | 2018-04-04 |
1730426958 | Sheryar Sarwar | Family Medicine | 138 N Dixon Rd, Kokomo, IN 46901-4154 | 2013-01-08 |
1811283005 | Marley A Griffin Fagg | Internal Medicine | 138 N Dixon Rd, Kokomo, IN 46901 | 2011-06-26 |
1356550057 | Michele B Weiberg | Internal Medicine | 138 N Dixon Rd, Kokomo, IN 46901-4154 | 2007-05-21 |
1447335898 | Christi L Redmon | Obstetrics & Gynecology | 138 N Dixon Rd, Kokomo, IN 46901 | 2006-10-26 |
1447217989 | Janice Elaine Morecraft | Nurse Practitioner | 138 N Dixon Rd, Kokomo, IN 46901-4154 | 2006-04-27 |
1891776951 | Victoria L Moyer | Family Medicine | 138 N Dixon Rd, Kokomo, IN 46901-4154 | 2005-11-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
1457826869 | Jodi Gayle Lake | Developmental Therapist | 2523 Lorentson Ct, Kokomo, IN 46901 | 2018-10-11 |
1871088369 | Hope Behavioral Servies, LLC | Behavioral Analyst | 924 Clark St, Kokomo, IN 46901 | 2018-06-27 |
1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
1164860706 | Renee Michelle Brown | Registered Nurse | 2776 Amberwood Place, Kokomo, IN 46901 | 2013-06-05 |
1063642916 | Michelle K Rush | Speech-Language Pathologist | 2532 Lauren Ln, Kokomo, IN 46901 | 2009-07-24 |
1396957189 | Lifetime Dental Care of In, PC | Dentist | 927 S Washington St, Kokomo, IN 46901 | 2007-05-04 |
1245458355 | Wagoner Medical Center, LLC | Internal Medicine | 2016 W Sycamore, Kokomo, IN 46901 | 2007-04-23 |
1053442723 | Jesusa Salhieh | Contractor | Genesis Rehab Bloom, Kokomo, IN 46901 | 2007-03-07 |
1740382928 | Donald A Fantuzzo Dds PC | Dentist | 2196 W Sycamore St, Kokomo, IN 46901 | 2006-09-01 |
Find all providers in zip 46901 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932755048 | Allison Cardwell | Nurse Practitioner | 3611 S Reed Rd Ste 214, Kokomo, IN 46902-3828 | 2019-08-14 |
1134400864 | Susan John Moore | Nurse Practitioner | 3118 South Lafountain, Indiana Health Center - Kokomo, Kokomo, IN 46902-3710 | 2011-09-08 |
1659526853 | Susan Mcvey Sloss | Nurse Practitioner | 2354 W. Boulevard, Kokomo, IN 46902 | 2008-12-02 |
1730335571 | Susan Christine Conner | Nurse Practitioner | 1765 E Lincoln Rd, Kokomo, IN 46902-3993 | 2008-08-12 |
1255312914 | Leslie Ann Carter | Nurse Practitioner | 2340 W Sycamore St, Kokomo, IN 46901-4108 | 2005-11-09 |
1710593645 | Kasey Nicole Kidd | Nurse Practitioner | 2340 W Sycamore St, Kokomo, IN 46901-4108 | 2020-09-16 |
1801408729 | Shirley Patterson | Nurse Practitioner | 3504 S Lafountain St, Kokomo, IN 46902-3803 | 2020-08-21 |
1275169534 | Rachel Bridges | Nurse Practitioner | 186 E Southway Blvd, Kokomo, IN 46902-3650 | 2020-03-19 |
1982237699 | Elizabeth Ann Fuller | Nurse Practitioner | 138 N Dixon Rd, Kokomo, IN 46901-4154 | 2020-02-20 |
1174160204 | Kristen Shepherd | Nurse Practitioner | 3510 S Lafountain St, Kokomo, IN 46902-3803 | 2019-12-09 |
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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.