Active NPI
Breanna Lien, FNP-C
- Family Nurse Practitioner
- West Lake Hills, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP128431
- Practice address
- 701 S Capital of Texas Hwy
Ste 900
West Lake Hills, TX 78746-5243 - Phone
- (512) 324-6970
- NPI assigned
- Jul 7, 2015
- Last updated
- Mar 24, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP128431 | TX | Primary |
Addresses
Primary practice location
701 S Capital of Texas Hwy
Ste 900
West Lake Hills, TX 78746-5243
Mailing address
4616 W Howard LN
Austin, TX 78728-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 358503604 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP128431 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Clinics - Endocrinology | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Past | Accepting new patients | |
| St. David's Carenow Urgent Care PLLC | Past | Accepting new patients |
Locations
501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811
501 S Burma Ave
Fl 3
Gillette, WY 82716
Phone (307) 688-3636
Interoperability endpoints
- blien262125@ahs.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Campbell County Medical Group - Internal Medicine Clinic
- Internal Medicine Physician
- Gillette, WY
- NPI 1710098868
-
- Endocrinology, Diabetes & Metabolism Physician
- Gillette, WY
- NPI 1811369630
-
dba Behavioral Health Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Gillette, WY
- NPI 1881730141
-
dba Campbell County Health
- Community/Retail Pharmacy
- Gillette, WY
- NPI 1992874218
-
- Family Medicine Physician
- Austin, TX
- NPI 1851844104
-
dba Camp County Memorial Hospital - Physician Group
- Emergency Medicine Physician
- Gillette, WY
- NPI 1063575611
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gillette, WY
- NPI 1487638417
-
dba Powder River Surgery Center
- Ambulatory Surgical Clinic/Center
- Gillette, WY
- NPI 1780738153
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1154704229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4616 W HOWARD LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787286300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 S CAPITAL OF TEXAS HWY",
"address_2": "STE 900",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787465243",
"telephone_number": "512-324-6970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEN",
"first_name": "BREANNA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-07",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP128431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "358503604",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.