Individual provider Active NPI

Kathryn G. Breese, D.C.

  • Chiropractor
  • Green Valley, AZ
National Provider Identifier
1962423616
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5666 Issued in AZ
Practice address
210 W Continental Rd
Suite 130
Green Valley, AZ 85614-1995
Phone
(520) 625-1101
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5666 AZ Primary

Addresses

Primary practice location

210 W Continental Rd
Suite 130
Green Valley, AZ 85614-1995

Mailing address

909 W Hawk Way
Amado, AZ 85645-9526
Phone (520) 398-2404

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5666AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Continental Natural Health Clinic Chiropractor Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962423616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 W HAWK WAY",
            "city": "AMADO",
            "state": "AZ",
            "postal_code": "856459526",
            "telephone_number": "520-398-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W CONTINENTAL RD",
            "address_2": "SUITE 130",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141995",
            "telephone_number": "520-625-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREESE",
        "first_name": "KATHRYN",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.