Martha Ann Breckenridge, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

242859 Issued in TX

Practice address

423 W Wheatland Rd Ste 103
Duncanville, TX 75116-4630

Phone

(469) 567-1234

Fax

(972) 709-4600

NPI assigned

Dec 6, 2006

Last updated

Oct 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Odette Louise Campbell, MD, PAGroup PAC ID 9335301829, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Odette Louise Campbell MD PA

  dba North Texas Medical Specialists

  • Family Medicine Physician
  • Plano, TX
  • NPI 1366750325
  Medicare reassignment Care Compare group NPD
• Martha a. Breckenridge

  • Women's Health Nurse Practitioner
  • Desoto, TX
  • NPI 1689895864
  Authorized official Same address or phone
• Synergy Family Care Network

  • Case Management Agency
  • Desoto, TX
  • NPI 1750733424
  NPD (past) Authorized official
• Utmb Austin - Initiatives

  • Multi-Specialty Clinic/Center
  • Austin, TX
  • NPI 1427099506
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1285792598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 346",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751230346",
            "telephone_number": "214-724-3723",
            "fax_number": "972-709-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 W WHEATLAND RD STE 103",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164630",
            "telephone_number": "469-567-1234",
            "fax_number": "972-709-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECKENRIDGE",
        "first_name": "MARTHA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "242859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188180701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Edward Bouley, DC
• Fina Bowie, ANP, GNP
• Lauren Brady, SLP-CCC
• Branch of Life, Inc
• Brandelene Wellness & Spa, PLLC
• Brightstar Healthcare Agency
• Tammy Britton
• Janice Brown, CCC-SLP
• William Alan Brown, D.D.S., F.A.G.D.
• Roderick Charles Brownlow, PTA

• Women's Health Nurse Practitioner in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.