Breanna Lynn Lee (NPI# 1376993543, PAC ID# 9739472366) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376993543 |
| PAC ID by PECOS | 9739472366 |
| Professional Enrollment ID | I20160720000635 |
| Full Name | Breanna Lynn Lee |
| Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
| Address |
138 N Dixon Rd Kokomo IN 46901-4154 |
| Phone Number | 7652368282 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012047640 |
| Number of Group Practice Members | 699 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150010 | ST. JOSEPH HOSPITAL & HEALTH CENTER, INC |
| 150007 | COMMUNITY HOWARD REGIONAL HEALTH INC. |
| Address | Phone | Organization |
|---|---|---|
| 138 N Dixon Rd, Kokomo, IN 46901-4154 | 7652368282 | ST VINCENT MEDICAL GROUP INC |
| Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
| Physicians | 702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J. Lyon | Cardiovascular Disease (cardiology) | St Vincent Medical Group Inc | 10590 N Meridian St, Indianapolis, IN 46290-1028 |
| Mohamad H Yousef | Gastroenterology | St Vincent Medical Group Inc | 2010 W 86th St, Suite 111, Indianapolis, IN 46260-1930 |
| Stephanie Ann Mason | Nurse Practitioner | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
| Emily Kelly Koffel | Nurse Practitioner | St Vincent Medical Group Inc | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Bobbie Nakole Jellison | Family Medicine | St Vincent Medical Group Inc | 8424 Naab Road Bulding, 1 1e, Indianapolis, IN 46260-1954 |
| Jessica Dawn Augenstine | Nurse Practitioner | St Vincent Medical Group Inc | 5629 Lee Rd, Indianapolis, IN 46216-2003 |
| Hannah Rebekah Thornton | Nurse Practitioner | St Vincent Medical Group Inc | 14828 Greyhound Ct, Suite 100, Carmel, IN 46032-5016 |
| John Gary Quiles | Gastroenterology | St Vincent Medical Group Inc | 1515 N Madison Ave, Anderson, IN 46011-3453 |
| Yvette Monique Caviness-kelley | Nurse Practitioner | St Vincent Medical Group Inc | 2155 E Main St, Plainfield, IN 46168-1816 |
| Erin Michelle Watson | Nurse Practitioner | St Vincent Medical Group Inc | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 |
| Street Address |
138 N DIXON RD |
| City | KOKOMO |
| State | IN |
| Zip | 46901-4154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheryar Sarwar | Family Medicine | St Vincent Medical Group Inc | 138 N Dixon Rd, Kokomo, IN 46901-4154 |
| Christi L Redmon | Obstetrics/gynecology | St Vincent Medical Group Inc | 138 N Dixon Rd, Kokomo, IN 46901-4154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne Brooks Ladd | Chiropractic | 2136 N Cooper St, Kokomo, IN 46901-1697 | |
| Bradley J Vossberg | Physical Medicine and Rehabilitation | 829 N Dixon Rd, Kokomo, IN 46901-1759 | |
| Tara L Eytcheson | Clinical Social Worker | 1539 E 100, Kokomo, IN 46901-3413 | |
| David Fredrick Strus | Psychologist, Clinical | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Alfredo Jaojoco Tumbali | Psychiatry | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Lisa Darlene Stults | Nurse Practitioner | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Dara Anita Josiah-howze | Psychiatry | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Abigail A Campbell | Clinical Social Worker | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Karen Sofie Samuels | Nurse Practitioner | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Patrick Mario Webb | Clinical Psychologist | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Find all physicians in zip 46901 | |||
| City | KOKOMO |
| Zip Code | 46901 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KOKOMO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Breanna Lynn Lee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.