Elizabeth McIntosh Brezeale, C.N.A.

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

173712 Issued in FL

Practice address

8240 Sevilla St
Navarre, FL 32566-9359

Phone

(850) 936-5419

Fax

(850) 936-5419

NPI assigned

Sep 21, 2011

Last updated

Sep 21, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1861775371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 SEVILLA ST",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325669359",
            "telephone_number": "850-936-5419",
            "fax_number": "850-936-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 SEVILLA ST",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325669359",
            "telephone_number": "850-936-5419",
            "fax_number": "850-936-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZEALE",
        "first_name": "ELIZABETH",
        "middle_name": "MCINTOSH",
        "credential": "C.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "173712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in Navarre, FL
• Providers in Navarre, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.