Courtnie Breland, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL4181 Issued in FL

Practice address

8290 Gate Pkwy W Unit 708
Jacksonville, FL 32216-3644

Phone

(904) 537-3070

NPI assigned

Sep 10, 2015

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": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1336517002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8290 GATE PKWY W UNIT 708",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163644",
            "telephone_number": "904-537-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8290 GATE PKWY W UNIT 708",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163644",
            "telephone_number": "904-537-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRELAND",
        "first_name": "COURTNIE",
        "name_prefix": "Mrs.",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breezemonte Homes, Inc.
• David Kent Brehmer Jr.
• Lida Breijo Vega
• Kurt David Breindel, CM
• Darlene Breitenbach
• Kayla L Breland
• Bremer Brace of Florida, Inc
• Bremer Brace of Florida, Inc.
• April Brenes, M.D.
• Ryan Benjamin Brenes, D.O.

• Athletic Trainer in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.