Breonna Edwards

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9668440 Issued in FL

Practice address

1213 24TH St Ste 100
Anacortes, WA 98221-2595

Phone

(360) 293-3101

NPI assigned

Jan 22, 2025

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1760294201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 OSPREY ST APT C",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 24TH ST STE 100",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212595",
            "telephone_number": "360-293-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BREONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9668440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr.Katie Eastman, Inc.
• E Carol Goetter MD Inc
• Christine Kate Eastman, PSY.D, LCSW
• Echo Health Musculoskeletal Imaging, P.S.
• Echohealth Physical Therapy, P.S.
• Holle Ann Edwards, SUDP
• Susan L Edwards, MSW, LICSW
• Nicolas Alfonso Elizondo
• Kenneth R Ellis, MD
• Michelle Matson Ellis, MACP

• Registered Nurse in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.