Individual provider Active NPI

Breanna Adkins-Horn

  • Peer Specialist
  • Palm Desert, CA
National Provider Identifier
1639964083
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-DUQPFZ Issued in CA
Practice address
39830 Portola Ave Ste B
Palm Desert, CA 92260-0623
Phone
(951) 686-8500
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MPSS-DUQPFZ CA Primary

Addresses

Primary practice location

39830 Portola Ave Ste B
Palm Desert, CA 92260-0623

Mailing address

39830 Portola Ave Ste B
Palm Desert, CA 92260-0623
Phone (951) 686-8500

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MPSS-DUQPFZCAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Crest PastSince Apr 20, 2025 Accepting new patients

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1639964083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39830 PORTOLA AVE STE B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922600623",
            "telephone_number": "951-686-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39830 PORTOLA AVE STE B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922600623",
            "telephone_number": "951-686-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKINS-HORN",
        "first_name": "BREANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-DUQPFZ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.