Individual provider Active NPI

Angela Marie Bressie

  • Contractor
  • Foley, MO
National Provider Identifier
1871835934
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
MO54246001 Issued in MO
Practice address
261 Burr Oak Rd
Foley, MO 63347-2423
Phone
(636) 669-2646
NPI assigned
Mar 26, 2013
Last updated
Mar 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MO54246001 MO Primary

Addresses

Primary practice location

261 Burr Oak Rd
Foley, MO 63347-2423

Mailing address

261 Burr Oak Rd
Foley, MO 63347-2423
Phone (636) 669-2646

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
MO54246001MOMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1871835934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 BURR OAK RD",
            "city": "FOLEY",
            "state": "MO",
            "postal_code": "633472423",
            "telephone_number": "636-669-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 BURR OAK RD",
            "city": "FOLEY",
            "state": "MO",
            "postal_code": "633472423",
            "telephone_number": "636-669-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESSIE",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MO",
            "license": "MO54246001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.