Active NPI
Breanna Fuhrman, APRN, FNP-C
- Family Nurse Practitioner
- Radcliff, KY
National Provider Identifier
1194347617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3016233
- Practice address
- 1360 Rogersville Rd
Radcliff, KY 40160-9344 - Phone
- (270) 351-0086
- NPI assigned
- May 7, 2020
- Last updated
- Jun 24, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3016233 | KY | Primary |
| General Practice Registered Nurse | 163WG0000X | 1154856 | KY |
Addresses
Primary practice location
1360 Rogersville Rd
Radcliff, KY 40160-9344
Mailing address
1360 Rogersville Rd
Radcliff, KY 40160-9344
Phone (270) 351-1150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1154856 | KY | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brock Medical, LLC | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Current | Accepting new patients |
Locations
110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409
1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055
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": "1588809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1194347617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 ROGERSVILLE RD",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401609344",
"telephone_number": "270-351-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 ROGERSVILLE RD",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401609344",
"telephone_number": "270-351-0086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUHRMAN",
"first_name": "BREANNA",
"name_prefix": "Dr.",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-07",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3016233",
"primary": true
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "KY",
"license": "1154856",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Radcliff, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.