Kimble Breazell

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HC5252 Issued in NC

Practice address

702 N Person St
Raleigh, NC 27604-1216

Phone

(919) 626-4917

NPI assigned

Feb 12, 2020

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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

• A Family Friend LLC

  • Home Health Agency
  • Raleigh, NC
  • NPI 1336768811
  NPD Authorized official

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1639701147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 BAY RUM LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106333",
            "telephone_number": "719-439-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N PERSON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041216",
            "telephone_number": "919-626-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAZELL",
        "first_name": "KIMBLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "HC5252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Break the Cycle Nutrition, LLC
• Breaking Barriers Wellness and Counseling PLLC
• Breakthrough Physical Therapy Inc
• Breanna Adult/Children Learning CNTR. Chemical Dependencyllc
• Daniel Robert Breazeale, M.D.
• Katherine R Bredehoeft, PHD
• Louines Bredy, PMHNP-BC
• Heather Bree, MSOM, LAC
• Kristina Lynn Breedlove, NNP
• Reeva Breedlove

• All providers in Raleigh, NC
• Home Health Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.