Active NPI
Breyana Jequei Burch
- Attendant Care Provider
- Akron, OH
National Provider Identifier
1730673740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- 0267138
- Practice address
- 909 Sherman St
Akron, OH 44311 - Phone
- (234) 718-0218
- NPI assigned
- Jun 22, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | 0267138 | OH | Primary |
Addresses
Primary practice location
909 Sherman St
Akron, OH 44311
Mailing address
909 Sherman St
Akron, OH 44311
Phone (234) 718-0218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0267138 | Medicaid | OH |
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 |
|---|---|---|---|
| 0267138 | OH | MD | Attendant Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1730673740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 SHERMAN ST",
"city": "AKRON",
"state": "OH",
"postal_code": "44311",
"telephone_number": "234-718-0218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 SHERMAN ST",
"city": "AKRON",
"state": "OH",
"postal_code": "44311",
"telephone_number": "234-718-0218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "BREYANA",
"middle_name": "JEQUEI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-22",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "OH",
"license": "0267138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0267138",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.