SUE ELLEN BREESE ANP-BC NPI 1679757116

NPI Information

NPI: 1679757116
Provider Name: SUE ELLEN BREESE, ANP-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
5950 N. OAK TRFY
SUITE 104
KANSAS CITY, MO
ZIP 64118
Phone: (816) 268-8501
Get Directions

Sue Ellen Breese, ANP-BC is an adult health nurse practitioner in Kansas City, MO. Sue Ellen Breese, ANP-BC NPI is 1679757116. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5950 N. OAK TRFY
SUITE 104
KANSAS CITY, MO
ZIP 64118-164
Phone: (816) 268-8501
Fax: (816) 452-5700

The enumeration date for this NPI number is 12/19/2007 and was last updated on 4/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		14-97852-042	KANSAS	No
2	163W00000X	Registered Nurse		2001005022	MISSOURI	No
3	363LA2200X	Nurse Practitioner	Adult Health	53-46184-042	KANSAS	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2001005022	MISSOURI	No
5	363LA2200X	Nurse Practitioner	Adult Health	2001005022	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1679757116	MEDICAID	MISSOURI
2	200633510B	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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