Bright From the Start

Primary specialty

Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X

Legal business name

BRIGHT FROM THE START

Practice address

625 55TH St
Kenosha, WI 53140-3731

Phone

(262) 605-2221

NPI assigned

Aug 16, 2021

Organization subpart

No

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

Authorized official

Name

Tiana RazaaNPI 1942974720

Title

Owner

Phone

(262) 605-2221

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bright From The Start Intergenerational Center LLC Doing business as

Tax ID family

Bright From the Start2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bright From the Start

  • Case Manager/Care Coordinator
  • Kenosha, WI
  • NPI 1073478335
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiana Razaa

  • Case Manager/Care Coordinator
  • Kenosha, WI
  • NPI 1942974720
  NPD Authorized official

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1124793617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 55TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403731",
            "telephone_number": "262-605-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 55TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403731",
            "telephone_number": "262-605-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT FROM THE START",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "RAZAA",
        "authorized_official_first_name": "TIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-605-2221"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100176256",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright From The Start Intergenerational Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Lynn Breiwick, RN
• Ashley C Breternitz, MHS, CCC-SLP
• Megan Brezinski
• Larry D Briand, MS, PT, ATC
• Bright From the Start
• Bright From the Start Health Services LLC
• Bright Gal Investments LLC
• Lachetta Broadway
• Brookdale Senior Living Communities, Inc.
• Brookdale Senior Living Communities, Inc.

• Non-Surgical Family Planning Clinic/Center in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Non-Surgical Family Planning Clinic/Center in Wisconsin

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