NPIMap

Organization Active NPI

Breanna Bergren

  • Skilled Nursing Facility
  • Tucson, AZ
National Provider Identifier
1700251238
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5930 Issued in AZ
Legal business name
BREANNA BERGREN
Practice address
6936 S Blueeyes Dr
Tucson, AZ 85756-5127
Phone
(207) 249-9991
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Breanna Bergren, OTR/LNPI 1184089468
Title
Registered Occupational Therapist
Phone
(207) 249-9991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5930 AZ Primary

Addresses

Primary practice location

6936 S Blueeyes Dr
Tucson, AZ 85756-5127

Mailing address

6936 S Blueeyes Dr
Tucson, AZ 85756-5127

Other names 1

  • Breanna hardy Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1700251238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6936 S BLUEEYES DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857565127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6936 S BLUEEYES DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857565127",
            "telephone_number": "207-249-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREANNA BERGREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "BERGREN",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "REGISTERED OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "207-249-9991",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "5930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breanna hardy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.