MR. DANIEL RAY BREIVOGEL (NPI# 1437451929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437451929 |
Entity Type | Individual |
Full Name | MR. DANIEL RAY BREIVOGEL |
Credential | NP-C |
Practice Address |
1249 Strong Rd Quincy FL 32351-5248 |
Mailing Address |
2804 Remington Green Cir Ste 2 Tallahassee FL 32308-1550 |
Practice Telephone | 8508759500 |
Practice Fax Number | 8506272786 |
Mailing Telephone | 8503854494 |
Enumeration Date | 2010-12-03 |
Last Update Date | 2019-01-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN9316690 | FL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 9316690 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICARE PTAN | EM733Z | 01 |
FL | 003096900 | 05 |
Street Address |
1249 STRONG RD |
City | QUINCY |
State | FL |
Zip Code | 32351-5248 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154474 | Sandra K Watson | Dental Hygienist | 1249 Strong Rd, Quincy, FL 32351-5248 | 2020-11-05 |
1144835943 | Dewana Latrice Monroe | Registered Nurse | 1249 Strong Rd, Quincy, FL 32351-5248 | 2020-09-09 |
1073064648 | Brittany S Toombs | Dental Hygienist | 1249 Strong Rd, Jessie Furlow Medical Center, Quincy, FL 32351-5248 | 2016-10-19 |
1558741249 | Victor Lee Chou | Dentist | 1249 Strong Rd, Quincy, FL 32351-5248 | 2015-06-08 |
1861796138 | Candace Tenise Mcmillon-dantley | Chiropractor | 1249 Strong Rd, Quincy, FL 32351-5248 | 2010-12-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922567627 | Porschia Moteka Johnson | Home Health | 1804 Mlk Jr Blvd, Quincy, FL 32351 | 2019-03-13 |
1841776556 | Caticia Shorter | Contractor | 315 Ray Road, Quincy, FL 32351 | 2018-07-16 |
1184170714 | Darlene Rollins Cunningham | Contractor | 716 Martin Luther King Jr. Blvd., Quincy, FL 32351 | 2016-09-01 |
1598186439 | Lydia Drayton | Technician, Pathology | 144 Gene Williams Rd, Quincy, FL 32351 | 2013-12-19 |
1609164987 | William Holzman | Dentist | 236 East Jefferson, Quincy, FL 32351 | 2011-07-20 |
1225338866 | Natalie S Franz | Registered Nurse | 278 Lasalle Lefall Dr., Qunicy, FL 32351 | 2010-10-29 |
1598915258 | Roiquista Ewana Harrison-albritton | Licensed Practical Nurse | 278 Dr. Lasalle Lefall, Quincy, FL 32351 | 2008-09-30 |
1265601835 | Crystal C Cutchins | Speech-Language Pathologist | 304 E. Jefferson St, Quincy, FL 32351 | 2008-02-27 |
1871761890 | Susan Nicholson Lajoie | Nurse Practitioner | 278 Dr. Lasalle Leffall Dr., Quincy, FL 32351 | 2008-02-12 |
1033399951 | Jill Mcelligott Welch | Midwife | 152 Winding Creek Rd, Quincy, FL 32351 | 2007-11-08 |
Find all providers in zip 32351 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053910257 | Lauren Michele Flynn | Nurse Practitioner | 173 Sumner St, Quincy, MA 02169-7003 | 2020-10-20 |
1447867601 | Caitlin Lynch | Nurse Practitioner | 41 Pilgrim Rd, Quincy, MA 02169-1210 | 2020-09-30 |
1881202380 | Julie Ann Dorgan | Nurse Practitioner | 11 Lee St, Quincy, MA 02169-2830 | 2020-07-21 |
1386265551 | Alexis Schantz | Nurse Practitioner | 4800 Maine St Ste 48-108, Quincy, IL 62305-5875 | 2020-04-29 |
1346884459 | Laurie Ann Bohne | Nurse Practitioner | 1229 Spring Lake Rd, Quincy, IL 62305-7763 | 2019-10-31 |
1497305486 | Kristina Anele Jarvis | Nurse Practitioner | 2 Hancock St Apt 208, Quincy, MA 02171-1760 | 2019-09-12 |
1699330399 | Amanda Hubner | Nurse Practitioner | 1707 N 12th St Bldg 29m, Quincy, IL 62301-1355 | 2019-05-08 |
1356813398 | Deann L Isherwood | Nurse Practitioner | 1250 Hancock St Fl 3, Quincy, MA 02169-4339 | 2018-12-31 |
1952813073 | Bing Xiao | Nurse Practitioner | 142 Quincy Shore Dr Unit 152, Quincy, MA 02171-2924 | 2017-10-30 |
1366960130 | Jessica Elizabeth Althide | Nurse Practitioner | 927 Broadway St Ste G31, Quincy, IL 62301-2724 | 2017-08-31 |
Find all providers in QUINCY |
Please comment or provide details below to improve the information on MR. DANIEL RAY BREIVOGEL.
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.