Breast Ink PLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BREAST INK PLC

Practice address

2321 S Alta Vista Cir
Mesa, AZ 85202-6474

Phone

(480) 636-6015

NPI assigned

Sep 28, 2014

Last updated

Sep 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Ward

Title

Owner

Phone

(480) 636-6015

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1411862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411862400000",
    "number": "1174926794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 S ALTA VISTA CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026474",
            "telephone_number": "480-636-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 S ALTA VISTA CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026474",
            "telephone_number": "480-636-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST INK PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-28",
        "last_updated": "2014-09-28",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-636-6015"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danica Brazaitis, LPC
• Kristine Brazzel, PSY.D., LPC
• Brea East Mesa, LLC (Brookdale East Mesa)
• Breanna Homes, LLC
• Breast for Baby, LLC
• Breeland Home Care
• Laura Marie Breeser, MA, CLINICIAN I
• Michael Bregman, LIAC
• Nicholette L Breier-Adkins, NP
• Jordan Breisch, PA-C

• Specialist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2014; 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.