LESLIE LEE BREIDENBACH (NPI# 1821126319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821126319 |
| Entity Type | Individual |
| Full Name | LESLIE LEE BREIDENBACH |
| Credential | L.P.N. |
| Practice Address |
1330 Grove Ave Racine WI 53405-3045 |
| Practice Telephone | 2626334548 |
| Mailing Telephone | 2626334548 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 28104-031 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38317300 | 05 |
| Street Address |
1330 GROVE AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53405-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical 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. 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 |
|---|---|---|---|---|
| 1457966731 | Denise Brown | Licensed Practical Nurse | 1215 Monroe Ave, Racine, WI 53405-2862 | 2020-09-13 |
| 1194294850 | Stephanie Angel Compton | Licensed Practical Nurse | 815 8th St Apt 214, Racine, WI 53403-1496 | 2018-11-24 |
| 1790276889 | Catalina Fransisca Nuno | Licensed Practical Nurse | 811 Forest St, Racine, WI 53404-3257 | 2018-05-23 |
| 1649796087 | Cara Jerdee | Licensed Practical Nurse | 1423 William St, Racine, WI 53402-4161 | 2017-08-17 |
| 1710359427 | Doris Mitchell | Licensed Practical Nurse | 1322 Buchanan St, Racine, WI 53402-5014 | 2015-10-21 |
| 1194134130 | Corine Baumstark | Licensed Practical Nurse | 1903 English St, Racine, WI 53404-2360 | 2014-08-04 |
| 1851725972 | Marguerite Emily Macdonald | Licensed Practical Nurse | 5215 Willowview Rd, Racine, WI 53402-2257 | 2013-08-26 |
| 1720411861 | Jennifer Jane Lagore | Licensed Practical Nurse | 50250 Hoback Rd, Racine, OH 45771-9751 | 2013-08-13 |
| 1346587987 | Emily Manago Reisman | Licensed Practical Nurse | 111 Sheffield Dr, Racine, WI 53402-3638 | 2013-01-15 |
| 1689922254 | Renee Corinne Crum | Licensed Practical Nurse | 1435 Ohio St, Racine, WI 53405 | 2012-08-29 |
| Find all providers in RACINE | ||||
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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.