MRS. DANA THEIS BREAZEALE (NPI# 1992777932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992777932 |
| Entity Type | Individual |
| Full Name | MRS. DANA THEIS BREAZEALE |
| Credential | FNP |
| Practice Address |
3200 Vine Street Cincinnati OH 45208 |
| Mailing Address |
1344 Custer Ave Cincinnati OH 45208-2525 |
| Practice Telephone | 5138613100 |
| Mailing Telephone | 5136990833 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN268214-COA0886 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN 862 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP0533 | 05 |
| Street Address |
3200 VINE STREET |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467978858 | Adam David Peterson | Psychologist | 3200 Vine Street, Office B125a, Cincinnati, OH 45220 | 2017-08-17 |
| 1497021174 | Megan A Reeme | Social Worker | 3200 Vine Street, Va Medical Center, Cincinnati, OH 45220 | 2012-03-28 |
| 1093966939 | Katherine Louise Hand | Nurse Practitioner | 3200 Vine Street, Cincinnati, OH 45220 | 2008-10-09 |
| 1124277215 | Linda Joan Daigle | Physical Therapy Assistant | 3200 Vine Street, Cincinnati, OH 45220 | 2008-09-12 |
| 1710187257 | Anthony Dion Lee | Occupational Therapy Assistant | 3200 Vine Street, Va Medical Center, Cincinnati, OH 45220 | 2007-07-23 |
| 1225139306 | Robert Michael Anthenelli | Psychiatry & Neurology | 3200 Vine Street, Cincinnati, OH 45220 | 2006-09-25 |
| 1093812356 | Diana Moore | Nurse Practitioner | 3200 Vine Street, Va Medical Center, Cincinnati, OH 45220-2213 | 2006-09-20 |
| 1982718706 | Lynn Marie Bergquist | Internal Medicine | 3200 Vine Street, Dept of Veterans Affairs Medical Center, Cincinnati, OH 45220-2447 | 2006-08-18 |
| 1457464059 | John Gerard Bendele Jr. | Nurse Anesthetist, Certified Registered | 3200 Vine Street, Veterans Affairs Medical Center, Cincinnati, OH 45020 | 2006-08-16 |
| 1659399608 | Courtney Payne Persinger | Urology | 3200 Vine Street, Veterans Hospital, Cincinnati, OH 45200 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912547811 | Cincy Pediatric Dentistry, LLC | Dentist | 1131 Cryer Ave, Cincinnati, OH 45208 | 2020-01-09 |
| 1518466655 | Preeti Bansal Kshirsagar | Dietitian, Registered | 3536 Edwards Rd Ste 210, Cincinnati, OH 45208 | 2018-02-05 |
| 1346621141 | Melanie Horel | Occupational Therapist | 3507 Victoria Pl, Cincinnati, OH 45208 | 2015-06-17 |
| 1104130756 | Hyde Park Counseling Professionals | Counselor | 2651 Observatory Avenue, Suite 10, Cincinnati, OH 45208 | 2010-08-05 |
| 1841521531 | Serenity Elder Care Services | Custodial Care Facility | 3414 Edward Rd., Suite 12, Cincinnati, OH 45208 | 2010-01-20 |
| 1861623530 | Virginia E. Crotte | Counselor | 3637 Wilshire Ave, Apt. 2, Cincinnati, OH 45208 | 2009-07-29 |
| 1073769691 | Meagen Springer | Physical Therapist | 2861 Observatory Ave, Cincinnati, OH 45208 | 2008-08-14 |
| 1881850162 | Tamara J Smith | Counselor | 1015 Delta Ave., Cincinnati, OH 45208 | 2008-08-06 |
| 1285856377 | Frank Andreas Schneider | Psychologist | 1018 Delta Avenue, Suite 202, Cincinnati, OH 45208 | 2007-05-02 |
| 1497975726 | Michael Howett | Obstetrics & Gynecology | 2916 Grandin Rd, Cincinnati, OH 45208 | 2007-04-27 |
| Find all providers in zip 45208 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184681 | Madison Baxter | Nurse Practitioner | 2730 Hyde Park Ave, Cincinnati, OH 45209-2004 | 2020-11-06 |
| 1225635584 | Charlene Hines | Nurse Practitioner | 495 Albion Ave, Cincinnati, OH 45246-4604 | 2020-10-08 |
| 1770199598 | Ashley Nicole Dishion | Nurse Practitioner | 3537 Greenview Way, Cincinnati, OH 45245-3367 | 2020-09-17 |
| 1023624814 | Sarah Taylor Kaiser | Nurse Practitioner | 6401 Timberhill Ct, Cincinnati, OH 45233-4576 | 2020-09-17 |
| 1881204501 | Carrie Ann Mofield | Nurse Practitioner | 3680 Jeffrey Ct, Cincinnati, OH 45236-1544 | 2020-08-06 |
| 1104452051 | Nicole Lavon-renee Campbell | Nurse Practitioner | 1130 Glenna Dr, Cincinnati, OH 45238-4338 | 2020-03-22 |
| 1487289591 | Whitney Ann Gallaher | Nurse Practitioner | 4217 Tower Ave, Cincinnati, OH 45217-4521 | 2020-03-09 |
| 1215575436 | Carol S Grimm | Nurse Practitioner | 5702 Bridgetown Rd Apt 8, Street Address 2, Cincinnati, OH 45248 | 2019-12-18 |
| 1598301756 | Danielle Miller | Nurse Practitioner | 10229 Winstead Ln, Cincinnati, OH 45231-2719 | 2019-11-22 |
| 1679124820 | Jennifer Ann Fenwick | Nurse Practitioner | 7907 Buckeye Cres, Cincinnati, OH 45243-1942 | 2019-09-27 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45208 |
Please comment or provide details below to improve the information on MRS. DANA THEIS BREAZEALE.
| 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.