Active NPI
Breeshanna R Brown, CNA
- Nurse's Aide
- Independence, MO
National Provider Identifier
1720949290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 107039
- Practice address
- 904 E Frederick St Apt B
Independence, MO 64050-3134 - Phone
- (816) 406-7612
- NPI assigned
- Nov 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 107039 | MO | |
| In Home Supportive Care Agency | 253Z00000X | 107039 | MO | |
| Adult Mental Health Clinic/Center | 261QM0850X | 107039 | MO | |
| Day Training/Habilitation Specialist | 373H00000X | 107039 | MO | |
| Attendant Care Provider | 3747A0650X | 107039 | MO | |
| Personal Care Attendant | 3747P1801X | 107039 | MO | |
| Religious Nonmedical Nursing Personnel | 374T00000X | 107039 | MO | |
| Home Health Aide | 374U00000X | 107039 | MO | |
| Mental Illness Intermediate Care Facility | 310500000X | 107039 | MO | |
| Alzheimer Center (Dementia Center) | 311500000X | 107039 | MO | |
| Adult Care Home Facility | 311ZA0620X | 107039 | MO | |
| Chore Provider | 372500000X | 107039 | MO | |
| Adult Companion | 372600000X | 107039 | MO | |
| Homemaker | 376J00000X | 107039 | MO | |
| Nurse's Aide | 376K00000X | 107039 | Primary |
Addresses
Primary practice location
904 E Frederick St Apt B
Independence, MO 64050-3134
Mailing address
904 E Frederick St Apt B
Independence, MO 64050-3134
Phone (816) 406-7612
Other names 1
- Bree Brown
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
| License | State | Type | Specialty |
|---|---|---|---|
| 107039 | MO | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1720949290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 E FREDERICK ST APT B",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640503134",
"telephone_number": "816-406-7612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 E FREDERICK ST APT B",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640503134",
"telephone_number": "816-406-7612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "BREESHANNA",
"middle_name": "R",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-24",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Driver",
"state": "MO",
"license": "107039",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MO",
"license": "107039",
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "MO",
"license": "107039",
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "MO",
"license": "107039",
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "MO",
"license": "107039",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "MO",
"license": "107039",
"primary": false
},
{
"code": "374T00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Nursing Personnel",
"state": "MO",
"license": "107039",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MO",
"license": "107039",
"primary": false
},
{
"code": "310500000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Mental Illness",
"state": "MO",
"license": "107039",
"primary": false
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "MO",
"license": "107039",
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "MO",
"license": "107039",
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chore Provider",
"state": "MO",
"license": "107039",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": "MO",
"license": "107039",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "MO",
"license": "107039",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": "107039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BREE",
"last_name": "BROWN",
"credential": "CNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.