Breena Angelica Ailani-Soleil, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

111003 Issued in WV

Practice address

236 Warrior Way
New Richmond, WV 24867

Phone

(304) 294-7584

NPI assigned

Nov 12, 2021

Last updated

Nov 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739

  WV

  Medicare reassignment NPD

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1023774205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 SHIRE HILL RD",
            "city": "SAULSVILLE",
            "state": "WV",
            "postal_code": "258761700",
            "telephone_number": "304-877-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 WARRIOR WAY",
            "city": "NEW RICHMOND",
            "state": "WV",
            "postal_code": "24867",
            "telephone_number": "304-294-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AILANI-SOLEIL",
        "first_name": "BREENA",
        "middle_name": "ANGELICA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "111003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Lea Kirkendoll, COTA/L
• Briana Myers
• Warrior Leasing Co., LLC (Wyoming Healthcare Center)
• Wyoming Nursing & Rehabilitation Center LLC
• Wyoming SNF LLC (Wyoming Rehabilitation and Healthcare Center)

• Family Nurse Practitioner in New Richmond, WV
• Providers in New Richmond, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.