Kaitlyn Marie Breazeale

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

60933272 Issued in WA

Practice address

2011 Road 76
Pasco, WA 99301-1871

Phone

(509) 492-8883

NPI assigned

Feb 2, 2016

Last updated

Feb 27, 2019By 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

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": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1326406620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 ROAD 76",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993011871",
            "telephone_number": "509-492-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 ROAD 76",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993011871",
            "telephone_number": "509-492-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAZEALE",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "WA",
            "license": "SP60602011",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60933272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60933272",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassidy Bowcutt
• Dennis Lyle Bradshaw, D D S
• Sean Patrick Brady, DO
• Braiding Boutique LLC
• Susan Powers Brain, A.R.N.P.
• Kaycee May Breazeale, FNP
• Meredith Brett
• Jarad Coleman Brisbin, DPT
• Stephanie Barrow Brook, L.M.P
• Brian T Brooks, PT

• Speech-Language Pathologist in Pasco, WA
• Providers in Pasco, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.