Harlie Breck, COTA/L

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

408A Issued in SD

Practice address

920 4TH St
Garretson, SD 57030-5703

Phone

(605) 594-3466

NPI assigned

Nov 28, 2018

Last updated

Nov 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1467922807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 4TH ST",
            "city": "GARRETSON",
            "state": "SD",
            "postal_code": "570302006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 4TH ST",
            "city": "GARRETSON",
            "state": "SD",
            "postal_code": "570305703",
            "telephone_number": "605-594-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECK",
        "first_name": "HARLIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "SD",
            "license": "408A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avera McKennan (Avera Medical Group Garretson)
• Jennifer Lee Bickel, COTA/L
• Amber Coburn
• Empres at Garretson, LLC
• Garretson Community Ambulance Corporation
• Garretson Healthcare, LLC (Palisade Healthcare Community)
• Garretson School District 49-4

• Prevention Professional in Garretson, SD
• Providers in Garretson, SD by specialty
• Prevention Professional in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.