Ryanne Elaine Breckenridge, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

823-039 Issued in WI

Practice address

1 University PLZ
Platteville, WI 53818-3001

Phone

(608) 342-6015

Fax

(608) 342-1576

NPI assigned

Feb 15, 2008

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

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1710155387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 UNIVERSITY AVE APT 2",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016101",
            "telephone_number": "563-581-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PLZ",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183001",
            "telephone_number": "608-342-6015",
            "fax_number": "608-342-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECKENRIDGE",
        "first_name": "RYANNE",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "823-039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Clare Boguslawski, PHARMD
• Candace Ann Bolton-Flynn, M.S.
• Hobart H Bosworth, MD
• Michael Lee Bottrell, D.D.S.
• Michelle Marie Brant, PA-C
• Brittany Anne Brown, LPC
• Allegra M Browne, PHARMD
• Christina S Burr, PA-C
• Phillip O Burr, P.A.
• C & M Associates, Inc

• Athletic Trainer in Platteville, WI
• Providers in Platteville, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.