Organization Active NPI

Breanna Bucco NP & Company

  • Pediatric Nurse Practitioner
  • Streetsboro, OH
National Provider Identifier
1801555776
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
BREANNA BUCCO NP & COMPANY
Practice address
751 Providence CT Apt 207
Streetsboro, OH 44241-4033
Phone
(330) 720-9558
NPI assigned
Dec 8, 2021
Last updated
Dec 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Breanna BuccoNPI 1932773611
Title
Owner
Phone
(330) 720-9558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NU Primary
Registered Nurse 163W00000X NU

Addresses

Primary practice location

751 Providence CT Apt 207
Streetsboro, OH 44241-4033

Mailing address

751 Providence CT Apt 207
Streetsboro, OH 44241-4033

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1801555776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 PROVIDENCE CT APT 207",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442414033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 PROVIDENCE CT APT 207",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442414033",
            "telephone_number": "330-720-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREANNA BUCCO NP & COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "BUCCO",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-720-9558"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streetsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.