Breanna Laice Barry, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10190950 Issued in TX

Practice address

311 Houston Street BLDG 520
College Station, TX 77843-7855

Phone

(979) 458-8337

Fax

(979) 458-8326

NPI assigned

May 12, 2020

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

Other identifiers 1

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": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1649892753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 TAMU BLDG 520",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778430001",
            "telephone_number": "979-458-8337",
            "fax_number": "979-458-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 HOUSTON STREET BLDG 520",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778437855",
            "telephone_number": "979-458-8337",
            "fax_number": "979-458-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "BREANNA",
        "middle_name": "LAICE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F10190950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "10190950",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Barnett
• Sonia Barrad
• Brian James Barras, D.D.S.
• Amanda Barron, PT, DPT
• Sarah Anne Barron, FNP-C
• Deborah Ann Barton, PHD
• Jacklyn Sue Bascomb-Harrison, MS, ATC
• Lori Ann Bastardo, LVN
• Alejandra Basurto
• Ojong-Tabong Bate, PHARMD

• Family Nurse Practitioner in College Station, TX
• Providers in College Station, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.