Breanna De la Serna

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53-81817 Issued in KS

Practice address

501 S Santa Fe Ave Ste 100
Salina, KS 67401-4189

Phone

(785) 825-2273

NPI assigned

Nov 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Salina Regional Health Center, Inc

  • Surgery Physician
  • Salina, KS
  • NPI 1619952785
  Medicare reassignment NPD
• Salina Regional Health Center Inc

  • Pain Medicine (Anesthesiology) Physician
  • Salina, KS
  • NPI 1356203715
  NPD
• Salina Regional Health Center, Inc.

  • Pediatrics Physician
  • Salina, KS
  • NPI 1699915934
  NPD
• Comcare, P.a

  • Family Medicine Physician
  • Salina, KS
  • NPI 1124083373
  NPD (past)
• Salina Regional Health Center, Inc

  • General Acute Care Hospital
  • Salina, KS
  • NPI 1689635138
  NPD (past)

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1861100679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE STE 100",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE STE 100",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014189",
            "telephone_number": "785-825-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Santa Fe Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674014189",
            "country_code": "US",
            "telephone_number": "785-825-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA SERNA",
        "first_name": "BREANNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-81817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004879180001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela B Davis, MD
• Raquita Dachand Davis, LAC
• Shianne Elizabeth Davis, LMSW
• Trent W Davis, MD
• Cynthia Day, LAC
• Debra J. Debiasse, M.D.
• John Caleb Decker, LMSW
• Aaron J Deeds, M.D.
• Everett Deane Dehaven, PH.D.
• Francisco Delaserna, MD

• Nurse Practitioner in Salina, KS
• Providers in Salina, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.

Verify at the official NPI Registry.