Sandra Jo Breach, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1685 Issued in NE

Practice address

108 East 2ND Street
North Platte, NE 69101-0000

Phone

(308) 534-9271

NPI assigned

May 16, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Sandra Jo Shybut Former name

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bryan Medical CenterGroup PAC ID 4284628652, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bryan Medical Center

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1699384370

  NE

  Medicare reassignment Care Compare group NPD
• Bryan Medical Center

  • Counseling Psychologist
  • Lincoln, NE
  • NPI 1497809966

  Clinical

  Care Compare group NPD
• Bryan Medical Center

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lincoln, NE
  • NPI 1629157789
  Care Compare group NPD
• Bryan Medical Center

  • Rehabilitation Hospital Unit
  • Lincoln, NE
  • NPI 1043390438
  Care Compare group
• Bryan Medical Center

  • Psychiatric Hospital Unit
  • Lincoln, NE
  • NPI 1134216773
  Care Compare group
• Bryan Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1528006103
  Care Compare group
• Bryan Medical Center

  • Registered Dietitian
  • Lincoln, NE
  • NPI 1740831106
  Care Compare group

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1801243282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 ANNA AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691014495",
            "telephone_number": "308-530-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 EAST 2ND STREET",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010000",
            "telephone_number": "308-534-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREACH",
        "first_name": "SANDRA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "SHYBUT",
            "middle_name": "JO",
            "prefix": "MRS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karlee Marie Boyd
• Christian Xavier Brack
• Patricia D Brackett
• Kyle Brandyberry, LIMHP, LADC
• Isabella Bravo
• Alan R Brewer, MD
• Bridges Counseling Services, LLC
• Jeffrey Christopher Brittan, M.D.
• Tammy Brockmoller
• Norval Riley Brooks

• All providers in North Platte, NE
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.