LAURA D BREITZIG


Address: 3401 Berrywood Dr Ste 300, Columbia, MO 65201-6515
Phone: 5737778330

LAURA D BREITZIG (NPI# 1326438961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326438961
Entity Type Individual
Full Name LAURA D BREITZIG
Credential MSN, FPMHNP
Practice Address 3401 Berrywood Dr Ste 300
Columbia
MO 65201-6515
Mailing Address 1300 E Bradford Pkwy
Springfield
MO 65804-4264
Practice Telephone 5737778330
Practice Fax Number 5737778390
Mailing Telephone 4177615000
Mailing Fax Number 4177615011
Enumeration Date 2015-02-04
Last Update Date 2019-03-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
2018012105 MO Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
ARNP9276676 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 420052833 05

Office Location

Street Address 3401 BERRYWOOD DR STE 300
City COLUMBIA
State MO
Zip Code 65201-6515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679778617 Andrea Earlywine Nurse Practitioner 3401 Berrywood Dr Ste 300, Columbia, MO 65201-6515 2007-06-19
1841652245 Daniel K Ostercamp Social Worker 3401 Berrywood Dr Ste 300, Columbia, MO 65201-6515 2016-03-24
1124459037 Benjamin A Wall Counselor 3401 Berrywood Dr Ste 300, Columbia, MO 65201-6515 2013-12-02
1245670744 Stephanie Elizabeth Shepard Psychiatry & Neurology 3401 Berrywood Dr Ste 300, Columbia, MO 65201 2013-06-28
1801132972 Lora Sue Rooker Counselor 3401 Berrywood Dr Ste 300, Columbia, MO 65201-6515 2012-12-18
1427369073 Garima Singh Psychiatry & Neurology 3401 Berrywood Dr Ste 300, Columbia, MO 65201 2010-06-29
1265752067 Laura Elizabeth Smith Psychiatry & Neurology 3401 Berrywood Dr Ste 300, Columbia, MO 65201-6515 2010-06-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134688534 Thomas Havey Specialist/Technologist 600 E Stadium Boulevard, Columbia, MO 65201 2019-03-15
1881176121 Darrea L Green Nurse Practitioner 3700 Interstate 70 Dr Se, Columbia, MO 65201 2018-09-04
1073092383 Andrea L. Lingenfelter Registered Nurse 1605 East Broadway, Ste. 100, Columbia, MO 65201 2018-08-08
1144724238 Angela Marie Richmond Internal Medicine 1 Hospital Dr Rm Ma423, Columbia, MO 65201 2018-03-22
1770092892 Palmer's Home Care, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 701 Hillsdale Road, Columbia, MO 65201 2017-09-20
1205358710 Mitchell E Swee Specialist/Technologist 600 East Stadium Blvd, Columbia, MO 65201 2017-07-17
1659815470 Colleen Jockin Specialist 100 Matc, Columbia, MO 65201 2016-12-13
1720535305 Hannah Garrad Dietitian, Registered Columbia 3, 25 Conley Road, Columbia, MO 65201 2016-09-01
1043662570 Restoration Chiropractic LLC Chiropractor 1413 Grindstone Plaza Drive, Columbia, MO 65201 2016-07-08
1306298930 Taylor John Sirois Chiropractor 1413 Grindstone Plaza Dr., Columbia, MO 65201 2016-07-07
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851906879 Claudine Njob Nurse Practitioner 5500 Knoll North Dr Ste 220, Columbia, MD 21045-2362 2020-09-15
1366081887 Mavis Kisseadoo Nurse Practitioner 10208 Hickory Ridge Rd Apt 302, Columbia, MD 21044-4688 2020-01-01
1942768528 American Psychiatric Care LLC Nurse Practitioner 8895 Centre Park Dr Ste E2, Columbia, MD 21045-1966 2019-03-04
1700341948 Anu John Nurse Practitioner G. Werber Bryan Psychiatric Hospital, 220 Faison Drive, Columbia, SC 29203 2019-02-01
1457838633 Lisa Eunjoo Sohn Nurse Practitioner 6310 Stevens Forest Rd Ste 100, Columbia, MD 21046-3208 2018-07-20
1558864157 Yetunde Olaleye Nurse Practitioner 7067 Columbia Gateway Dr Ste 108, Columbia, MD 21046-3407 2018-03-10
1538667431 Truhope.3 LLC Nurse Practitioner 10440 Little Patuxent Pkwy Ste 300, Columbia, MD 21044-3648 2018-01-25
1174038590 Elizabeth Jane Eggebrecht Nurse Practitioner 2715 Colonial Dr Ste 100, Columbia, SC 29203-6818 2017-12-07
1639540420 Stacy S Mallare Nurse Practitioner 10954 Hilltop Ln, Columbia, MD 21044-3780 2015-10-19
1790097913 Ana C Duarte Nurse Practitioner 10632 Little Patuxent Pkwy Ste 410, Columbia, MD 21044-3252 2010-07-02
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Competitor

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City COLUMBIA
Zip Code 65201

Improve Information

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Dataset Information

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.

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