Dawnette Lynn Bredberg, A-GPCNP, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

H154470 Issued in IA

Practice address

4101 Woolworth Ave
Omaha, NE 68105-1850

Phone

(402) 995-5783

NPI assigned

May 1, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IA

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1013572486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 JACKSON BLVD",
            "city": "TABOR",
            "state": "IA",
            "postal_code": "516532041",
            "telephone_number": "712-520-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 WOOLWORTH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051850",
            "telephone_number": "402-995-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREDBERG",
        "first_name": "DAWNETTE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "A-GPCNP, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "H154470",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "H154470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn N Breazile
• Jodi Lynn Breci, ED.S.
• Paige Mackenzie Breci, MS, LIMHP
• Tonette L Breckenridge, CNA
• Willie Breckenridge IV
• Erin Bredin
• Bryan D Bredthauer, M.D.
• Scott Kent Breeden, DO
• Laura Breedlove
• Nicole Breedlove

• Adult Health Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Adult Health Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.