Individual provider Active NPI

Bree Danille Hysjulien, BSRT(R)(M)

  • Mammography Radiologic Technologist
  • Boca Raton, FL
National Provider Identifier
1396943643
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Radiologic TechnologistTaxonomy code 2471M2300X
License
RHM 83688 Issued in CA
Practice address
5901 Broken Sound Pkwy
Ste. 500
Boca Raton, FL 33487-2773
Phone
(800) 875-8999
Fax
(561) 417-7443
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X RT00005413 WA
Mammography Radiologic Technologist 2471M2300X RHM 83688 CA Primary

Addresses

Primary practice location

5901 Broken Sound Pkwy
Ste. 500
Boca Raton, FL 33487-2773

Mailing address

348 W 600 N
Logan, UT 84321-3828
Phone (415) 847-9671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RT00005413WAMDRadiologic Technologist
RHM 83688CAMDMammography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Club Staffing Past Accepting new patients
Club Staffing Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1396943643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 W 600 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213828",
            "telephone_number": "415-847-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 BROKEN SOUND PKWY",
            "address_2": "STE. 500",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872773",
            "telephone_number": "800-875-8999",
            "fax_number": "561-417-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYSJULIEN",
        "first_name": "BREE",
        "middle_name": "DANILLE",
        "name_prefix": "Mrs.",
        "credential": "BSRT(R)(M)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "WA",
            "license": "RT00005413",
            "primary": false
        },
        {
            "code": "2471M2300X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Mammography",
            "state": "CA",
            "license": "RHM 83688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.