Active NPI
Lance D Breit, CRNA
- Certified Registered Nurse Anesthetist
- Sioux City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 111812
- Practice address
- 2720 Stone Park Blvd
Sioux City, IA 51104-3734 - Phone
- (712) 255-2324
- NPI assigned
- May 31, 2006
- Last updated
- May 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 111812 | IA | Primary |
Addresses
Primary practice location
2720 Stone Park Blvd
Sioux City, IA 51104-3734
Mailing address
PO Box 683
Sioux City, IA 51102-0683
Phone (712) 255-2324
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047Z191 | Medicaid | IA | |
| 0123695 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 N Sioux Point Rd
Dakota Dunes, SD 57049-5000
Phone (605) 242-7246
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siouxland Anesthesiology, LTD | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Rivers Edge Aesthetic Surgery, LLC | Current | Accepting new patients |
Locations
101 Tower Rd
Ste 201
North Sioux City, SD 57049
Phone (605) 232-3332
600 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-4320
4201 S Minnesota Ave
Ste 111
Sioux Falls, SD 57105
Phone (605) 335-3349
4201 S Minnesota Ave
#111
Sioux Falls, SD 57105
Phone (605) 335-3349
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Anesthesiology) Physician
- Dakota Dunes, SD
- NPI 1669496337
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Sioux Falls, SD
- NPI 1285936641
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Dunes Surgical Hospital
- Special Hospital
- Dakota Dunes, SD
- NPI 1093714073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1013954148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 683",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511020683",
"telephone_number": "712-255-2324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 STONE PARK BLVD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511043734",
"telephone_number": "712-255-2324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREIT",
"first_name": "LANCE",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "111812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047Z191",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123695",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.