Organization Active NPI

And Breathe,LLC

  • Clinical Social Worker
  • Portland, ME
National Provider Identifier
1275892689
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AND BREATHE,LLC
Practice address
47 Portland St
2ND FL.
Portland, ME 04101-3188
Phone
(207) 274-9639
NPI assigned
May 7, 2012
Last updated
Apr 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Authorized official

Name
Shannyn VicenteNPI 1962761361
Title
Owner
Phone
(207) 274-9639

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

47 Portland St
2ND FL.
Portland, ME 04101-3188

Mailing address

95 Parker St
Newburyport, MA 01950-4033

Other identifiers 1

IdentifierTypeStateIssuer
1962761361MedicaidME

National Provider Directory

National Provider Directory

Locations

47 Portland St
Ste 2
Portland, ME 04101
Phone (207) 274-9639

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1275892689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 PARKER ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PORTLAND ST",
            "address_2": "2ND FL.",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013188",
            "telephone_number": "207-274-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AND BREATHE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "VICENTE",
        "authorized_official_first_name": "SHANNYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-274-9639"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962761361",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.