Individual provider Active NPI

Breann Striefsky

  • Nurse Practitioner
  • Honesdale, PA
National Provider Identifier
1174359004
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP027866 Issued in PA
Practice address
600 Maple Ave
Honesdale, PA 18431-1459
Phone
(570) 253-8609
NPI assigned
Sep 9, 2024
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP027866 PA Primary
Family Nurse Practitioner 363LF0000X SP027866 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP030926 PA

Addresses

Primary practice location

600 Maple Ave
Honesdale, PA 18431-1459

Mailing address

600 Maple Ave
Honesdale, PA 18431-1459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20250226000638 PA Practitioner - Nurse Practitioner 2961922513 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP027866PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Memorial Community Health Centers CurrentSince Jan 1, 2025 Accepting new patients
Wayne Memorial Community Health Centers Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients

Locations

100 Dundaff St
Forest City, PA 18421
Phone (570) 785-3194

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

412 Como Rd
Lake Como, PA 18437
Phone (570) 775-7100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1174359004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAPLE AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAPLE AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311459",
            "telephone_number": "570-253-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIEFSKY",
        "first_name": "BREANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP027866",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027866",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP030926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

Verify at the official NPI Registry.