Phoebe Lynn Breed, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CP001492 Issued in SD

Practice address

1420 N 10TH St
Spearfish, SD 57783-1532

Phone

(605) 717-8595

NPI assigned

Oct 31, 2018

Last updated

Oct 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1740757475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MEIER AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831990",
            "telephone_number": "303-960-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N 10TH ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831532",
            "telephone_number": "605-717-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREED",
        "first_name": "PHOEBE",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP001492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucretia Lynn Bowen, ATC, CSCS
• Forrest S Brady, MD
• Dylan Brandenburg
• Brian Ruben Brandt, CNP, PMHNP-BC
• Mayson Brauer, M.S.
• Jaycee Breidenbach
• Tracie Erin Bren-Clegg, LPC-MH
• Heather A Brewer, MD
• Mark James Britzman, ED.D, LP
• Wesley W Broeder, PA-C

• Nurse Practitioner in Spearfish, SD
• Providers in Spearfish, SD by specialty
• Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.