Bettina Brea, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN2341462 Issued in MA

Practice address

415 Columbia Rd
Dorchester, MA 02125-2424

Phone

(617) 287-8000

Fax

(617) 287-1500

NPI assigned

Apr 12, 2020

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1790304533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COLUMBIA RD",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021252322",
            "telephone_number": "617-287-8000",
            "fax_number": "617-287-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 COLUMBIA RD",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021252424",
            "telephone_number": "617-287-8000",
            "fax_number": "617-287-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREA",
        "first_name": "BETTINA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-12",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2341462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Branson, NP
• Emilia C Brasil
• Lindsay Coffey Braun, O.D.
• Josh Bray
• Skye Brazille, M.D.
• Ashley Breen, RN
• Kurt W Brennan, D.C.
• Sharon Brennan, RN
• Brianne Fitzgerald Behavioral Health LLC
• Thomika Marie Bridwell-Paul

• Registered Nurse in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.