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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 420052833 | 05 |
Street Address |
3401 BERRYWOOD DR STE 300 |
City | COLUMBIA |
State | MO |
Zip Code | 65201-6515 |
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 |
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 |
Find all providers in zip 65201 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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 |
Find all providers in COLUMBIA |
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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.