MISTI BREITBACH


Address: 301 12th St Se, Watford City, ND 58854-6722
Phone: 7018426400

MISTI BREITBACH (NPI# 1639627979) 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) 1639627979
Entity Type Individual
Full Name MISTI BREITBACH
Practice Address 301 12th St Se
Watford City
ND 58854-6722
Mailing Address Po Box 2479
Watford City
ND 58854-6000
Practice Telephone 7018426400
Mailing Telephone 7018426400
Enumeration Date 2016-09-15
Last Update Date 2016-09-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R29786 ND Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 301 12TH ST SE
City WATFORD CITY
State ND
Zip Code 58854-6722

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891073185 Claudia H Low Clinical Nurse Specialist 301 12th St Se, Watford City, ND 58854-6722 2011-08-03
1043824501 Christina Jean Shockley Family Medicine 301 12th St Se, Watford City, ND 58854-6722 2020-09-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306308101 Summit Silver Creek, LLC Substance Abuse Rehabilitation Facility 2046 125th Ave, Watford City, ND 58854 2019-04-02
1548716285 Mckenzie County Social Services Case Management 201 5th St. Nw, Ste. 790, Watford City, MS 58854 2016-09-01
1275923450 Jennifer Fleck Nurse Practitioner 118 8th Street Ne, Watford City, ND 58854 2015-01-27
1437497625 Aaron Burke Patchen Chiropractor 105 9th Ave Se, Ste 3, Watford City, ND 58854 2013-01-22
1164703559 Narek Ovsepian Dentist 324 3rd St Nw, Watford City, ND 58854 2011-08-30
1861614489 Marilyn Beth Pierce Physical Therapist 3272 127th Avenue Nw, Watford City, ND 58854 2007-05-03
1710063771 Gary L Trauger Chiropractor 105 2nd Ave Ne, Watford City, ND 58854 2006-10-31
1518056142 Mckenzie County Ambulance Service Ambulance 204 3rd Ave Ne, Watford City, ND 58854 2006-10-12
1427079854 Mckenzie County Healthcare Systems Inc Medicare Defined Swing Bed Unit 516 North Main Street, Watford City, ND 58854 2006-07-21
1184645533 Gary W Ramage General Practice 525 North Main Street, Watford City, ND 58854 2006-07-21
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275923450 Jennifer Fleck Nurse Practitioner 118 8th Street Ne, Watford City, ND 58854 2015-01-27
1730465568 Cassie J Haak Nurse Practitioner 116 8th St Ne, Watford City, ND 58854-7541 2011-10-25
1255964698 Amanda Marie Mitchell Nurse Practitioner 709 4th Ave Ne, Watford City, ND 58854-7628 2020-02-13
1902440449 Christy Marie Moe Nurse Practitioner 709 4th Ave Ne, Watford City, ND 58854-7628 2019-10-28
1073917480 Jessica Marie Heggen Nurse Practitioner 525 N Main St, Watford City, ND 58854-7313 2014-10-14
1659705507 Kirsten Vetterkind Nurse Practitioner 525 N Main St, Attn: Tucker Petersen, Coo, Watford City, ND 58854-7313 2013-08-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962000901 Rochelle Rieck Nurse Practitioner 4183 153rd Ave Se, Mapleton, ND 58059-9625 2020-10-12
1811500226 Dan Lee Beach Nurse Practitioner 314 3rd Ave Ne, Ashley, ND 58413-7225 2020-08-25
1477163335 Tabitha Elizabeth Clare Solc Nurse Practitioner 5770 Orchid Cir, Grand Forks, ND 58201-3232 2020-08-05
1811505241 Breann Owen Nurse Practitioner 14974 27th St Se, Amenia, ND 58004-9756 2020-07-22
1033736376 Joshua James Hadsell Nurse Practitioner 124 Independence Ave, Bismarck, ND 58503-0463 2020-07-02
1447872163 Gina Marie Kinzler Nurse Practitioner 4840 23rd Ave S, Fargo, ND 58104-9136 2020-05-15
1700405685 Brandi Peterson Nurse Practitioner 831 S Broadway Ste 113, Minot, ND 58701-4636 2020-04-10
1497384184 Rosanne Clare Lohman Nurse Practitioner 336 Main St S, Forman, ND 58032-4001 2020-04-04
1114558830 Tisha Kamrowski Nurse Practitioner 1932 7th St Nw, Minot, ND 58703-1317 2020-01-31
1669017265 Haley Faye Wahl Nurse Practitioner 761 48th St S, Fargo, ND 58103-7216 2019-11-07
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Competitor

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City WATFORD CITY
Zip Code 58854

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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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