Active NPI
Kristin Janet Breitag, MSW
- Social Worker
- Sioux Falls, SD
National Provider Identifier
1407879893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1477
- Practice address
- 2501 W 22ND St
Vamc
Sioux Falls, SD 57105-1305 - Phone
- (605) 333-6861
- Fax
- (605) 333-6878
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1477 | SD | Primary |
Addresses
Primary practice location
2501 W 22ND St
Vamc
Sioux Falls, SD 57105-1305
Mailing address
2117 S Melanie LN
Sioux Falls, SD 57103-4269
Phone (605) 371-0004
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407879893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2117 S MELANIE LN",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571034269",
"telephone_number": "605-371-0004",
"fax_number": "605-333-6878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W 22ND ST",
"address_2": "VAMC",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051305",
"telephone_number": "605-333-6861",
"fax_number": "605-333-6878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREITAG",
"first_name": "KRISTIN",
"middle_name": "JANET",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SD",
"license": "1477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.