Active NPI
Tara Breaux, NP-C
- Adult Health Nurse Practitioner
- Orange, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP116689
- Practice address
- 610 Strickland Dr Ste 270
Orange, TX 77630-4788 - Phone
- (409) 883-5600
- Fax
- (409) 883-3570
- NPI assigned
- May 15, 2008
- Last updated
- Feb 10, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP116689 | TX | Primary |
Addresses
Primary practice location
610 Strickland Dr Ste 270
Orange, TX 77630-4788
Mailing address
2875 Jimmy Johnson Blvd
Ste 100
Port Arthur, TX 77640-2002
Phone (409) 729-9222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephanie P. Cunningham DO PA | Current | Accepting new patients | |
| Orange Clinical Associates PA | Past | Accepting new patients |
Locations
2501 Jimmy Johnson Blvd
Ste 400
Port Arthur, TX 77640
Phone (409) 729-5633
2875 Jimmy Johnson Blvd
Ste 100
Port Arthur, TX 77640
Phone (409) 338-3007
Interoperability endpoints
- tara.breaux.1@21544.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1831366087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2875 JIMMY JOHNSON BLVD",
"address_2": "STE 100",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776402002",
"telephone_number": "409-729-9222",
"fax_number": "409-722-9425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 STRICKLAND DR STE 270",
"city": "ORANGE",
"state": "TX",
"postal_code": "776304788",
"telephone_number": "409-883-5600",
"fax_number": "409-883-3570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREAUX",
"first_name": "TARA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-15",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP116689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.