BREENA REID TILL (NPI# 1376976183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376976183 |
| Entity Type | Individual |
| Full Name | BREENA REID TILL |
| Credential | CRNP |
| Practice Address |
713 J L Chestnut Blvd Selma AL 36702-2213 |
| Mailing Address |
867 County Road 59 Pine Apple AL 36768-3525 |
| Practice Telephone | 3348747428 |
| Mailing Telephone | 2517462197 |
| Mailing Fax Number | 2517462467 |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2017-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-113849 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
713 J L CHESTNUT BLVD |
| City | SELMA |
| State | AL |
| Zip Code | 36702-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659893469 | Letevia Herlong | Nurse Practitioner | 713 J L Chestnut Boulevard, Selma, AL 36702 | 2017-07-13 |
| 1295194447 | Lauren Goddard | Nurse Practitioner | 713 J. L. Chestnut Blvd, Selma, AL 36702 | 2016-02-16 |
| 1053513689 | Daniel W Mcswain | Nurse Anesthetist, Certified Registered | 1015 Medical Center Parkway, Selma, AL 36702 | 2007-06-05 |
| 1699882258 | Swift Drug Co.inc. | Pharmacy | 217 Broad St, Selma, AL 36702-0735 | 2006-08-23 |
| 1265549547 | Joseph H Carstarphen | Pharmacy | 618 Medical Center Parkway, Suite B, Selma, AL 36702-2050 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259844 | Elisa Hinojosa | Counselor | 8610 E Khan St, Selma, CA 93662-2028 | 2020-09-11 |
| 1982219432 | Alleta Nannette Mcbride | Transportation Broker | 1000 Medical Center Pkwy Apt 19, Selma, AL 36701-6752 | 2020-09-11 |
| 1194337204 | Samantha Armstrong | Behavior Technician | 2504 C St, Selma, CA 93662-3117 | 2020-08-19 |
| 1407468689 | Yasmeen Antheana-neshaygreen Brenson | Student in an Organized Health Care Education/Training Program | 206 Lakeview Ave, Selma, AL 36703-1705 | 2020-08-19 |
| 1730797200 | Shannon Gail Sauls | Counselor | 501 America Dr, Selma, NC 27576-6143 | 2020-07-21 |
| 1922625169 | Kaitlyn C Guffey | General Acute Care Hospital | 301 Fawnridge Trl, Selma, NC 27576-5759 | 2020-07-04 |
| 1093337529 | Yangda Pan | Pharmacist | 15810 Cardinal Pt, Selma, TX 78154-3489 | 2020-05-06 |
| 1750902623 | Lateshia Rochelle Horton | Chore Provider | 1120 Primrose Ter, Selma, AL 36703-4130 | 2020-05-02 |
| 1760002646 | Ashley Mckinstry | Registered Nurse | 605 Furniss Ave Apt 28c, Selma, AL 36701-5569 | 2020-04-21 |
| 1114546298 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 67 Jr Rd Ste 1200, Selma, NC 27576-3458 | 2020-04-09 |
| Find all providers in SELMA | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538793765 | Janessa Lavane Webster | Nurse Practitioner | 16820 Dancing Ava Unit 4, Selma, TX 78154-3576 | 2020-02-26 |
| 1861022030 | Terrika Anderson-cook | Nurse Practitioner | 48 County Road 444, Selma, AL 36701-8887 | 2020-01-16 |
| 1114491057 | Monica Boswell Moore | Nurse Practitioner | 1015 Medical Center Parkway, Selma, AL 36701 | 2019-01-14 |
| 1881163087 | Rebecca Elaine Castro Rios | Nurse Practitioner | 5016 E Fm 1518 N, Selma, TX 78154-1360 | 2018-11-16 |
| 1053891986 | Loren M Gorman | Nurse Practitioner | 209 Stampede Rnch, Selma, TX 78154-1966 | 2018-08-20 |
| 1659893469 | Letevia Herlong | Nurse Practitioner | 713 J L Chestnut Boulevard, Selma, AL 36702 | 2017-07-13 |
| 1205292984 | Mary Chelimo Kipchumba | Nurse Practitioner | 1475 Al Highway 14 E, Selma, AL 36703-2996 | 2016-01-11 |
| 1467821157 | Francis Nicole Vogler | Nurse Practitioner | 1023 Medical Center Pkwy Ste 401, Selma, AL 36701-6712 | 2015-09-23 |
| 1164406757 | Arlene Shipman | Nurse Practitioner | 3275 Mccall Ave, Selma, CA 93662-2551 | 2005-12-06 |
| 1649805094 | Shawn Singh Chatha | Nurse Practitioner | 1850 Whitson St, Selma, CA 93662-3609 | 2020-03-05 |
| Find all providers in SELMA | ||||
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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.