Active NPI
Emily Elizabeth Breitbarth, LMT, LAT, ATC
- Health Educator
- Indianola, IA
National Provider Identifier
1851690192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 000772
- Practice address
- 701 N C St
Simpson College-Cowles
Indianola, IA 50125-1201 - Phone
- (515) 961-1503
- NPI assigned
- Mar 25, 2011
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 000772 | IA | Primary |
Addresses
Primary practice location
701 N C St
Simpson College-Cowles
Indianola, IA 50125-1201
Mailing address
1205 W 2ND Ave
Apt. 12B
Indianola, IA 50125-2195
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 |
|---|---|---|---|
| 000772 | IA | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301011200000",
"number": "1851690192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 W 2ND AVE",
"address_2": "APT. 12B",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501252195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N C ST",
"address_2": "SIMPSON COLLEGE-COWLES",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501251201",
"telephone_number": "515-961-1503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREITBARTH",
"first_name": "EMILY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LMT, LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-25",
"last_updated": "2011-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "IA",
"license": "000772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.