Traci Breitmeyer

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6851108440 Issued in MI

Practice address

2355 Knapp St NE
Grand Rapids, MI 49505-4411

Phone

(616) 361-9923

NPI assigned

Jul 10, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Creating Brighter Futures

  • Behavior Analyst
  • Ann Arbor, MI
  • NPI 1750999249
  NPD
• Creating Brighter Futures, Inc

  • Behavior Analyst
  • Ann Arbor, MI
  • NPI 1881939346
  NPD

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1053939587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 KNAPP ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054411",
            "telephone_number": "616-361-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 KNAPP ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054411",
            "telephone_number": "616-361-9923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Varsity Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481085005",
            "country_code": "US",
            "telephone_number": "734-926-0740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREITMEYER",
        "first_name": "TRACI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851108440",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carley Brehm
• Naomi Breiler, M.ED, BCBA
• Kristen D. Breimayer, MOT, OTR/L
• Allyson M Breish, LMSW
• Page Breitfield
• Nicholas R Breland
• Anteneah Grace Bremby, LLMSW
• Sarah Ruth Bremer, PA-C
• Natalie Brenders, MD
• Brennan Family & Cosmetic Dentistry, PC

• Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.