Shantelle Nicolle Breeze, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

BREE-0E05L Issued in NC

Practice address

203 Pomona Dr
Greensboro, NC 27407-1619

Phone

(336) 282-0132

NPI assigned

Feb 26, 2021

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

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Carolina Kidney Associates PAGroup PAC ID 8729130711, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbreeze40538@direct.acumenmd.com

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.

• Central Carolina Kidney Associates PA

  • Nephrology Physician
  • Burlington, NC
  • NPI 1356582506
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alamance Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Burlington, NC
  • NPI 1326010273
  Care Compare affiliation

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1124612452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 POMONA DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071619",
            "telephone_number": "336-282-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 POMONA DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071619",
            "telephone_number": "336-282-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEZE",
        "first_name": "SHANTELLE",
        "middle_name": "NICOLLE",
        "name_prefix": "Mrs.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "BREE-0E05L",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NC",
            "license": "264125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Brazier
• Breakthrough Physical Therapy Inc
• Breathe Again Counseling, PLLC
• Breathing Disorders Services
• Julie Breen, MSN, APN, NP-C
• Christian Brenes Vega, DDS
• Ewa L Brennan, R.N.,M.S.N.,A.N.P.,C
• Michael Joseph Brennan, MD
• Amanda Brent, PMHNP-BC
• Jennifer Fichera Brewer

• Adult Health Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.