Individual provider Active NPI

Breeshanna R Brown, CNA

  • Nurse's Aide
  • Independence, MO
National Provider Identifier
1720949290
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
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

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193200000X MULTI-SPECIALTY GROUP 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 AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 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 ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X 107039 MO
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

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
107039MOMDHomemaker

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.

Verify at the official NPI Registry.