Active NPI
Debbie A. Breckenridge, LMP
- Specialist
- Wenatchee, WA
National Provider Identifier
1821151762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00020329
- Practice address
- 607 S Mission St
Downstairs Location
Wenatchee, WA 98801-6147 - Phone
- (509) 679-7236
- Fax
- (509) 784-8209
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA00020329 | WA | Primary |
Addresses
Primary practice location
607 S Mission St
Downstairs Location
Wenatchee, WA 98801-6147
Mailing address
PO Box 371
Entiat, WA 98822-0371
Phone (509) 679-7236
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00020329 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821151762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 371",
"city": "ENTIAT",
"state": "WA",
"postal_code": "988220371",
"telephone_number": "509-679-7236",
"fax_number": "509-784-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 S MISSION ST",
"address_2": "DOWNSTAIRS LOCATION",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988016147",
"telephone_number": "509-679-7236",
"fax_number": "509-784-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRECKENRIDGE",
"first_name": "DEBBIE",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00020329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.