Active NPI
Breehan Rumpke, CPNP
- Pediatric Nurse Practitioner
- Fairfield, OH
National Provider Identifier
1790037448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 20121906
- Practice address
- 5900 Boymel Dr
Fairfield, OH 45014-5526 - Phone
- (513) 874-9460
- Fax
- (513) 874-5731
- NPI assigned
- Oct 4, 2012
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 20121906 | OH | Primary |
Addresses
Primary practice location
5900 Boymel Dr
Fairfield, OH 45014-5526
Mailing address
5900 Boymel Dr
Pediatric Associates of Fairfield, Inc
Fairfield, OH 45014
Phone (513) 874-9460
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
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20121906 | OH | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1790037448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BOYMEL DR",
"address_2": "PEDIATRIC ASSOCIATES OF FAIRFIELD, INC",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "45014",
"telephone_number": "513-874-9460",
"fax_number": "513-874-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 BOYMEL DR",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145526",
"telephone_number": "513-874-9460",
"fax_number": "513-874-5731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUMPKE",
"first_name": "BREEHAN",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-04",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "20121906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.