Ashley C Breternitz, MHS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4699-154 Issued in WI

Practice address

8400 Sheridan Rd
Kenosha, WI 53143-6327

Phone

(262) 658-4141

NPI assigned

Aug 22, 2018

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1639650229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12119 43RD AVE",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531583925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 SHERIDAN RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531436327",
            "telephone_number": "262-658-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3415 Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531401924",
            "country_code": "US",
            "telephone_number": "262-657-6175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRETERNITZ",
        "first_name": "ASHLEY",
        "middle_name": "C",
        "credential": "MHS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4699-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abrisha Lynn Brantley
• Lory Felecia Brantley, RN
• Leigh Braun
• Jodi L Brehm, MD
• Sarah Lynn Breiwick, RN
• Megan Brezinski
• Larry D Briand, MS, PT, ATC
• Bright From the Start
• Bright From the Start
• Bright From the Start Health Services LLC

• Speech-Language Pathologist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.