Breanna Dawne Landis, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN321448 Issued in PA

Practice address

637 Merchant St
Coatesville, PA 19320-3337

Phone

(415) 272-7810

NPI assigned

May 13, 2024

Last updated

May 13, 2024By the provider in NPPES

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

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1265280390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 MERCHANT ST",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203337",
            "telephone_number": "415-272-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 MERCHANT ST",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203337",
            "telephone_number": "415-272-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "BREANNA",
        "middle_name": "DAWNE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN321448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer A Krumenacker, MA . LPC
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• Bruce Paul Laporte, RPH
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• Lee Ellen Law, PT
• Phuoc H Le, MD
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• Licensed Practical Nurse in Coatesville, PA
• Providers in Coatesville, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.