NPIMap

Individual provider Active NPI

Lindy Marie Breshears

  • Family Nurse Practitioner
  • Salisbury, MO
National Provider Identifier
1538740261
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021018304 Issued in MO
Practice address
413 W 2ND St
Salisbury, MO 65281-1405
Phone
(660) 388-7084
Fax
(660) 388-7087
NPI assigned
Apr 15, 2021
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021018304 MO Primary
Registered Nurse 163W00000X 2015035769 MO

Addresses

Primary practice location

413 W 2ND St
Salisbury, MO 65281-1405

Mailing address

1515 Union Ave
Moberly, MO 65270-9407

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lindy.breshears.1@2622.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210603000918 MO Practitioner - Nurse Practitioner 1759780216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moberly Hospital Company LLCGroup PAC ID 9436052230, 10 clinicians

Practice addresses (Care Compare)

413 W 2ND St
Chariton Valley Family Medicine
Salisbury, MO 65281-1405
Phone (660) 388-7084

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2015035769MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Moberly Hospital Company LLC Current Accepting new patients
Moberly Hospital Company LLC CurrentSince May 21, 2021 Accepting new patients
Moberly Hospital Company LLC CurrentSince May 21, 2021 Accepting new patients
Moberly Hospital Company LLC Past Accepting new patients

Locations

1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400

413 W 2nd St
Salisbury, MO 65281
Phone (660) 388-7084

Interoperability endpoints

  • Direct secure messaging: lindy.breshears.1@2622.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1538740261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 UNION AVE",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W 2ND ST",
            "city": "SALISBURY",
            "state": "MO",
            "postal_code": "652811405",
            "telephone_number": "660-388-7084",
            "fax_number": "660-388-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESHEARS",
        "first_name": "LINDY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021018304",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2015035769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lindy.breshears.1@2622.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "413 W 2nd St",
            "city": "Salisbury",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652811405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salisbury, MO

Sources for this page

Verify at the official NPI Registry.