Breanna Vanhooser

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R56081 Issued in ND

Practice address

2109 Johnson St
Burlington, ND 58722

Phone

(417) 213-2893

NPI assigned

Nov 20, 2024

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 20, 2024.

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1245055714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 JOHNSON ST",
            "city": "BURLINGTON",
            "state": "ND",
            "postal_code": "58722",
            "telephone_number": "417-213-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 JOHNSON ST",
            "city": "BURLINGTON",
            "state": "ND",
            "postal_code": "58722",
            "telephone_number": "417-213-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOOSER",
        "first_name": "BREANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R56081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Grosche
• Mandy Dawn Lemer, SLP
• Douglas Franklin Raymos
• Wendy Gail Remillong
• Grace Starr

• All providers in Burlington, ND
• Registered Nurse in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.