SHAWN BREEDEN (NPI# 1871027250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871027250 |
Entity Type | Individual |
Full Name | SHAWN BREEDEN |
Credential | HS-BCP, MA |
Practice Address |
4196 E Whitehall Dr San Tan Valley AZ 85140-7647 |
Practice Telephone | 4358990751 |
Mailing Telephone | 4358990751 |
Enumeration Date | 2017-04-12 |
Last Update Date | 2017-04-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
Street Address |
4196 E WHITEHALL DR |
City | SAN TAN VALLEY |
State | AZ |
Zip Code | 85140-7647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801429634 | Bhsm Rehabilitation, LLC | Clinic/Center | 37200 North Gantzel Road, Suite 260, Queen Creek, AZ 85140 | 2020-02-20 |
1801455712 | Jose Enrique Knox | Specialist/Technologist, Other | 36018 North Secret Garden Path, Queen Creek, AZ 85140 | 2019-06-13 |
1629546171 | San Tan Valley Oral Facial and Implant Surgery Pllc | Oral & Maxillofacial Surgery | 36327 N Gantzel Rd, Suite 102, San Tan Valley, AZ 85140 | 2018-11-02 |
1780164582 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 40950 N Ironwood Dr, Queen Creek, AZ 85140 | 2018-08-21 |
1497249452 | San Tan Primary Care PC | Family Medicine | 36283 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 | 2018-06-21 |
1306386115 | Veronica Gonzalez | Licensed Practical Nurse | 733 E Angeline Ave, Queen Creek, AZ 85140 | 2017-02-27 |
1194198697 | Amanda Ellis | Residential Treatment Facility, Physical Disabilities | 381 East Brook Street, San Tan Valley, AZ 85140 | 2015-11-05 |
1043688336 | Felicia D Adams | Day Training/Habilitation Specialist | 1074 E. Press Rd, San Tan Valley, AZ 85140 | 2015-09-03 |
1376928598 | Amy Burks | Physical Therapy Assistant | 1479 E Oak Rd, San Tan Valley, AZ 85140 | 2015-07-29 |
1316367121 | Shanaya Suchak | Internal Medicine | 37000 N Gantzel Road, Attn: Hospitalists, San Tan Valley, AZ 85140 | 2014-04-19 |
Find all providers in zip 85140 |
Taxonomy Code | 101YP1600X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Pastoral |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
1114530540 | Kimetta Arniece Coleman | Counselor | 2375 E Camelback Rd # 628, Phoenix, AZ 85016-3424 | 2020-08-25 |
1649882721 | Shirli Regev | Counselor | 9851 W Lone Cactus Dr, Peoria, AZ 85382-0549 | 2020-08-19 |
1922620913 | Veronica Ramirez | Counselor | 7805 S 27th Way, Phoenix, AZ 85042-7079 | 2020-05-12 |
1922628908 | Melinda H Connor | Counselor | 31907 South Davis Ranch Rd, Marana, AZ 85658 | 2020-04-20 |
1366947681 | Lisa Marie Smith | Counselor | 14435 N 7th St Ste 106, Phoenix, AZ 85022-4371 | 2018-03-28 |
1043733025 | Margaret K Franklin | Counselor | 9299 W Olive Ave Ste 212, Peoria, AZ 85345-8382 | 2017-07-20 |
1861929689 | Carol Mack | Counselor | 1530 N Country Club Dr Ste 19, Mesa, AZ 85201-2560 | 2017-05-11 |
1902342645 | Paula Bishop | Counselor | 2301 E Sahuarita Rd, Sahuarita, AZ 85629-9465 | 2017-01-18 |
1851776785 | Libby Smith | Counselor | 3240 S. Trotter Lane, Flagstaff, AZ 86005 | 2015-07-21 |
Find all providers with the same taxonomy |
City | SAN TAN VALLEY |
Zip Code | 85140 |
Please comment or provide details below to improve the information on SHAWN BREEDEN.
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.