Annette Lape Breed, NP
Individual provider Active NPI Nurse Practitioner · Washington, NC
NPI 1790799666 · NPPES record last updated May 1, 2022
Key facts
- NPI
- 1790799666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0001082157 (VA)
- Practice address
- 1380 Cowell Farm Rd
Washington, NC 27889-3431 - Phone
- (252) 946-2101
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001082157 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Emergency Medicine Assoicates, LTD | Past |
Accepting new patients |
Interoperability endpoints
- abreed285090@direct.vidanthealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0001082157 | VA | Yes |
Addresses
Primary practice location
1380 Cowell Farm Rd
Washington, NC 27889-3431
Mailing address
103 S Dimock Rd
Washington, NC 27889-3109
Phone (252) 623-1157
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010373450 | Medicaid | VA | |
| 7789254 | Medicaid | VA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abreed285090@direct.vidanthealth.com | Health Information Exchange (HIE) |
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All providers in Washington, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.