Organization Active NPI

Breanna Adult/Children Learning CNTR. Chemical Dependencyllc

  • Nutrition Education Nutritionist
  • Raleigh, NC
National Provider Identifier
1144551607
Registry record updated Jan 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
BREANNA ADULT/CHILDREN LEARNING CNTR. CHEMICAL DEPENDENCYLLC
Practice address
219 S East St Ste a
Raleigh, NC 27601-1536
Phone
(919) 809-7899
Fax
(919) 809-7878
NPI assigned
Jan 23, 2010
Last updated
Jan 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2010

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

Authorized official

Name
Ms. Gloria Sawyer
Title
Ceo
Phone
(919) 798-0130

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X Primary
Local Education Agency (LEA) 251300000X
Early Intervention Provider Agency 252Y00000X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

219 S East St Ste a
Raleigh, NC 27601-1536

Mailing address

219 S East St Ste a
Raleigh, NC 27601-1536
Phone (919) 809-7899

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264204800000",
    "number": "1144551607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 S EAST ST STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011536",
            "telephone_number": "919-809-7899",
            "fax_number": "919-809-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S EAST ST STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011536",
            "telephone_number": "919-809-7899",
            "fax_number": "919-809-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREANNA ADULT/CHILDREN LEARNING CNTR. CHEMICAL DEPENDENCYLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-23",
        "last_updated": "2010-01-23",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-798-0130",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2010; 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.