Individual provider Active NPI

Breanna Michelle Rasnake, PNP-PC

  • Pediatric Nurse Practitioner
  • Abingdon, VA
National Provider Identifier
1861270563
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024188083 Issued in VA
Practice address
26210 Lee Hwy
Abingdon, VA 24211-7504
Phone
(276) 623-8100
Fax
(276) 623-8126
NPI assigned
Sep 15, 2023
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024188083 VA Primary

Addresses

Primary practice location

26210 Lee Hwy
Abingdon, VA 24211-7504

Mailing address

26210 Lee Hwy
Abingdon, VA 24211-7504
Phone (276) 623-8100

Other names 1

  • Breanna Michelle Napier Former name

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

LicenseStateTypeSpecialty
0024188083VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Pediatrics PastSince Sep 17, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1861270563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26210 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117504",
            "telephone_number": "276-623-8100",
            "fax_number": "276-623-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26210 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117504",
            "telephone_number": "276-623-8100",
            "fax_number": "276-623-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASNAKE",
        "first_name": "BREANNA",
        "middle_name": "MICHELLE",
        "credential": "PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024188083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "NAPIER",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.