Individual provider Active NPI

Ryan Breske, DNP, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Auburn, WA
National Provider Identifier
1083395313
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61559882 Issued in WA
Practice address
4238 Auburn Way N
Auburn, WA 98002-1311
Phone
(206) 901-2000
NPI assigned
Jul 28, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN61180192 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61559882 WA Primary

Addresses

Primary practice location

4238 Auburn Way N
Auburn, WA 98002-1311

Mailing address

205 Nickerson St Apt 401
Seattle, WA 98109-1690
Phone (206) 459-3320

Other practice location 1

600 Broadway Ste 170
Seattle, WA 98122-5332
Phone (206) 901-2000

Other practice location 2

1231 116th Ave NE Ste 800
Bellevue, WA 98004-3822
Phone (425) 454-1010

Other practice location 3

10700 Meridian Ave N Ste G11
Seattle, WA 98133-9008
Phone (206) 901-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20241224000432 WA Practitioner - Nurse Practitioner 2668909029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Washington School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SoundGroup PAC ID 1759282197, 50 clinicians

Practice addresses (Care Compare)

1600 E Olive St
Seattle, WA 98122-2735
Phone (206) 302-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN61180192WAMDPsychiatric/Mental Health Registered Nurse
AP61559882WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound CurrentSince Dec 17, 2024 Accepting new patients

Locations

4238 Auburn Way N
Auburn, WA 98002
Phone (253) 444-0106

4240 Auburn Way N
Auburn, WA 98002
Phone (253) 876-8900

10700 Meridian Ave N
Ste G11
Seattle, WA 98133
Phone (206) 302-2900

1600 E Olive St
Seattle, WA 98122
Phone (206) 302-2800

600 Broadway
Ste 170
Seattle, WA 98122
Phone (206) 302-2600

6400 Southcenter Blvd
Tukwila, WA 98188
Phone (206) 444-3600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1083395313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 NICKERSON ST APT 401",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091690",
            "telephone_number": "206-459-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 AUBURN WAY N",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980021311",
            "telephone_number": "206-901-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Broadway Ste 170",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981225332",
            "country_code": "US",
            "telephone_number": "206-901-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1231 116th Ave NE Ste 800",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043822",
            "country_code": "US",
            "telephone_number": "425-454-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10700 Meridian Ave N Ste G11",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981339008",
            "country_code": "US",
            "telephone_number": "206-901-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRESKE",
        "first_name": "RYAN",
        "credential": "DNP, RN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-28",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN61180192",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61559882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.