Individual provider Active NPI

Sarah Lynn Breiwick, RN

  • Registered Nurse
  • Kenosha, WI
National Provider Identifier
1801188339
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
150535-30 Issued in WI
Practice address
5116 46TH Ave Unit a
Kenosha, WI 53144-2017
Phone
(262) 672-0438
NPI assigned
May 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 150535-30 WI Primary

Addresses

Primary practice location

5116 46TH Ave Unit a
Kenosha, WI 53144-2017

Mailing address

5116 46TH Ave Unit a
Kenosha, WI 53144-2017
Phone (262) 672-0438

Other identifiers 1

IdentifierTypeStateIssuer
35045300MedicaidWI

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
150535-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1801188339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 46TH AVE UNIT A",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531442017",
            "telephone_number": "262-672-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 46TH AVE UNIT A",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531442017",
            "telephone_number": "262-672-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREIWICK",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "150535-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35045300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.