Breathe Pediatrics, PLLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP60455433 Issued in WA

Legal business name

BREATHE PEDIATRICS, PLLC

Practice address

175 1St PL NW
Suite a
Issaquah, WA 98027-2744

Phone

(425) 651-4044

Fax

(425) 651-4033

NPI assigned

Jan 18, 2015

Organization subpart

No

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

Authorized official

Name

Amy Jean Bain, RN, MSN, CPNPNPI 1609058288

Title

Pediatric Nurse Practitioner

Phone

(425) 651-4044

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Jean Bain, CPNP

  • Pediatric Nurse Practitioner
  • Issaquah, WA
  • NPI 1609058288
  Authorized official Same address or phone

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

{
    "created_epoch": "1421539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421539200000",
    "number": "1023407715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 1ST PL NW",
            "address_2": "SUITE A",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272744",
            "telephone_number": "425-651-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 1ST PL NW",
            "address_2": "SUITE A",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272744",
            "telephone_number": "425-651-4044",
            "fax_number": "425-651-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-18",
        "last_updated": "2015-01-18",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PEDIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "425-651-4044",
        "authorized_official_credential": "RN, MSN, CPNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP60455433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Bradbury, PT
• Anjela Bradstreet
• Anthony K Branch, LMHC
• Gordon Brandt, MD
• Mary Jean Brautigam Mills, NCC, LMHC
• Alyssa Brent
• Mark Franklin Bressler, MD
• Abigail Brewster
• Duane Matthew Brickell, M.ED., PSY.D.
• Mark Levi Briggs, LMHCA

• Pediatric Nurse Practitioner in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Pediatric Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.