Mary Breen

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

239573 Issued in TX

Practice address

1301 Barbara Jordan Blvd Ste 301
Austin, TX 78723-3078

Phone

(512) 324-0919

NPI assigned

Jan 15, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1043784879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233078",
            "telephone_number": "512-324-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "TX",
            "license": "239573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Michelle Breeding, MA,LCDC,ICADC,CADC-2
• Rachel L. Breedlove, M.D.
• Evelyn L Breedon, LMSW
• Catherine M Breen, PA-C
• Christopher Patrick Breen, MA, MDIV
• Michael T Breen, M.D.
• Breeze Dental 38TH, PLLC
• Breeze Dental E. 5TH, PLLC
• Samantha Breidenbach, OTR
• Kathryn Bonham Breihan, R.N., FNP-C

• Pediatric Clinical Nurse Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.