Active NPI
Breancia Owens
- Case Manager/Care Coordinator
- Port Richey, FL
National Provider Identifier
1124738794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 9550 US Highway 19
Port Richey, FL 34668-4664 - Phone
- (727) 494-7609
- NPI assigned
- Dec 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | FL | Primary |
Addresses
Primary practice location
9550 US Highway 19
Port Richey, FL 34668-4664
Mailing address
2109 King Ave
Lakeland, FL 33803-2856
Phone (786) 598-6075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7274947609 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | BreAncia.owens@bh-florida.com | Health Information Exchange (HIE) | SequelCare of Florida LLC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1124738794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 KING AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338032856",
"telephone_number": "786-598-6075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9550 US HIGHWAY 19",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346684664",
"telephone_number": "727-494-7609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "BREANCIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-05",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7274947609",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "BreAncia.owens@bh-florida.com",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "SequelCare of Florida LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "work email",
"address_1": "9550 US Highway 19",
"city": "Port Richey",
"state": "FL",
"country_code": "US",
"postal_code": "346684664",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.