Active NPI
Alexa Breidinger
- Social Worker
- Canton, OH
National Provider Identifier
1780011411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1300060-TRNE
- Practice address
- 4641 Fulton Dr NW
Canton, OH 44718-2384 - Phone
- (330) 433-6075
- NPI assigned
- Sep 26, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1300060-TRNE | OH | Primary |
Addresses
Primary practice location
4641 Fulton Dr NW
Canton, OH 44718-2384
Mailing address
4641 Fulton Dr NW
Canton, OH 44718-2384
Phone (330) 433-6075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0290822 | 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 |
|---|---|---|---|
| S.1300060-TRNE | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1780011411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4641 FULTON DR NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182384",
"telephone_number": "330-433-6075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4641 FULTON DR NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182384",
"telephone_number": "330-433-6075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREIDINGER",
"first_name": "ALEXA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-26",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1300060-TRNE",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0290822",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.