Lauren Michelle Breadon

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

167460 Issued in OH

Practice address

4966 Glenway Ave Ste 205
Cincinnati, OH 45238-3917

Phone

(513) 684-7977

Fax

(513) 244-1829

NPI assigned

May 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gateways Recovery

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1922425552
  NPD (past)
• Gateways Recovery Inc

  • Community/Behavioral Health Agency
  • Cincinnati, OH
  • NPI 1265453930
  NPD (past)

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1194382192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4966 GLENWAY AVE STE 205",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4966 GLENWAY AVE STE 205",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383917",
            "telephone_number": "513-684-7977",
            "fax_number": "513-244-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREADON",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "167460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sela Brazier, MSW, LSW
• Ashley Brazil, MS
• Theresa Sharnell Brazile
• Reginald Brazzile
• Pamela Brazzle
• Dana Theis Breazeale, FNP
• Bonnie Marie Brecher, LMT
• Krista Jordan Breckel
• Shane Breckel
• Donna Marie Bredenberg, NURSE PRACTITIONER

• Case Manager/Care Coordinator in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.