Active NPI
Steven Breitenfield
- Speech-Language Pathologist
- Waukon, IA
National Provider Identifier
1255763892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 002375
- Practice address
- 40 1St St SE
Waukon, IA 52172-2022 - Phone
- (563) 568-3411
- NPI assigned
- Aug 6, 2013
- Last updated
- Aug 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 002375 | IA | Primary |
Addresses
Primary practice location
40 1St St SE
Waukon, IA 52172-2022
Mailing address
PO Box 357
61 North 3Rd St., Apt. 3
Lansing, IA 52151-0357
Phone (847) 682-4646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1255763892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 357",
"address_2": "61 NORTH 3RD ST., APT. 3",
"city": "LANSING",
"state": "IA",
"postal_code": "521510357",
"telephone_number": "847-682-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 1ST ST SE",
"city": "WAUKON",
"state": "IA",
"postal_code": "521722022",
"telephone_number": "563-568-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREITENFIELD",
"first_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-06",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "002375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.