Erika Breault, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

103 N Bowery Street
Gladwin, Mi 48624
Gladwin, MI 48624

Phone

(989) 430-8249

Fax

(989) 426-6952

NPI assigned

Jan 4, 2024

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Central Michigan District Health Department

  • Public Health or Welfare Agency
  • Mount Pleasant, MI
  • NPI 1245283977
  NPD (past)

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1962272575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 KERN RD",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486248008",
            "telephone_number": "989-426-9431",
            "fax_number": "989-426-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N BOWERY STREET",
            "address_2": "GLADWIN, MI 48624",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "48624",
            "telephone_number": "989-430-8249",
            "fax_number": "989-426-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAULT",
        "first_name": "ERIKA",
        "credential": "CHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonte Medical Products Inc.
• Grace Borowicz
• Gene Thomas Brassington, PHARMD
• Bratton Clinic PC
• Richard Dix Bratton Jr., D.O.
• Lisa Suzanne Brewer, MOTR
• Jessica Briggs
• Amy Rebecca Brockschmidt, LLPC
• Lanelle Lyn Brown, ADN, RN-BC
• Jessica Bucher, NBC-HWC

• Community Health Worker in Gladwin, MI
• Providers in Gladwin, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.