Individual provider Active NPI

Jennifer Higgins Breese, PHARMD

  • Pharmacist
  • Mount Juliet, TN
National Provider Identifier
1083909147
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11717 Issued in TN
Practice address
401 S Mount Juliet Rd Ste 600
Mount Juliet, TN 37122-8466
Phone
(615) 773-2828
Fax
(615) 773-2828
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11717 TN Primary

Addresses

Primary practice location

401 S Mount Juliet Rd Ste 600
Mount Juliet, TN 37122-8466

Mailing address

401 S Mount Juliet Rd Ste 600
Mount Juliet, TN 37122-8466
Phone (615) 773-2828

Other names 1

  • Jennifer Kay Higgins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
11717TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1083909147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MOUNT JULIET RD STE 600",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228466",
            "telephone_number": "615-773-2828",
            "fax_number": "615-773-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MOUNT JULIET RD STE 600",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228466",
            "telephone_number": "615-773-2828",
            "fax_number": "615-773-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREESE",
        "first_name": "JENNIFER",
        "middle_name": "HIGGINS",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "11717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HIGGINS",
            "middle_name": "KAY",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.