Abigail Kristin Breland, PA-C
Individual provider Active NPI Physician Assistant · New Orleans, LA
NPI 1437754173 · NPPES record last updated Dec 1, 2020
Key facts
- NPI
- 1437754173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 324302 (LA)
- Practice address
- 3439 Prytania St Ste 501
New Orleans, LA 70115-7905 - Phone
- (504) 754-2334
- NPI assigned
- Dec 1, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210628001309 | LA | Practitioner - Physician Assistant | 4183025208 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 324302 | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Pain Specialists, LLC | Current |
Accepting new patients | |
| Bone & Joint Clinic LLC | Current |
Accepting new patients | |
| Louisiana Pain Specialists, LLC | Current |
Accepting new patients | |
| Bone & Joint Clinic | Past | Accepting new patients |
Locations
231 W Esplanade Ave
Ste B
Kenner, LA 70065
Phone (504) 459-4070
4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421
2706 Hessmer Ave
Ste A
Metairie, LA 70002
Phone (504) 635-2601
3439 Prytania St
Ste 501
New Orleans, LA 70115
Phone (504) 535-7212
2600 Belle Chasse Hwy
Ste I
Terrytown, LA 70056
Phone (504) 391-7670
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 324302 | LA | Yes |
Addresses
Primary practice location
3439 Prytania St Ste 501
New Orleans, LA 70115-7905
Mailing address
226 1St St
Gretna, LA 70053-5329
Phone (504) 952-7225
NPI Registry JSON
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1437754173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 1ST ST",
"city": "GRETNA",
"state": "LA",
"postal_code": "700535329",
"telephone_number": "504-952-7225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3439 PRYTANIA ST STE 501",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701157905",
"telephone_number": "504-754-2334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRELAND",
"first_name": "ABIGAIL",
"middle_name": "KRISTIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "324302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
- Willie Breaux Jr.
- Sancia E. Bredy
- Emily Breen
- Jesi Linn Brehm
- Angela S Breidenstine
- Amelia Hendrickson Breland
- Christine Sheehan Brennan
- Hillary Diane Brennan
- Ryan Brennan
- Ronnie R Brenner
All providers in New Orleans, LA · Physician Assistant in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.