Colleen Breivogel

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

328489 Issued in NY

Practice address

165 Lander St
Newburgh, NY 12550-4534

Phone

(845) 674-4953

NPI assigned

Oct 21, 2021

Sex

Female

Sole proprietor

Yes

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": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1316600752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 LANDER ST",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125504534",
            "telephone_number": "845-674-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 LANDER ST",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125504534",
            "telephone_number": "845-674-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREIVOGEL",
        "first_name": "COLLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "328489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Brady, AUD
• Kelsey C. Branch, PA-C
• Judith Ann Branche, MD
• Bernadette P Brandon, DO
• James Edward Brantley III, LPN
• Anna J Brigham, RN
• Sarah Helene Broadie
• Broadway Chemists Inc.
• Broadway Chemists Inc.
• Erin Kate Brodhead, MSED, CCC-SLP

• Licensed Practical Nurse in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.