Individual provider Active NPI

Breeanne Rose Werring

  • Speech-Language Pathologist
  • Newport Beach, CA
National Provider Identifier
1962981605
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12671 Issued in CA
Practice address
3900 Birch St Ste 103
Newport Beach, CA 92660-2226
Phone
(949) 955-0010
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12671 CA Primary

Addresses

Primary practice location

3900 Birch St Ste 103
Newport Beach, CA 92660-2226

Mailing address

24875 Sea Aire
Dana Point, CA 92629-1849

Other practice location 1

24422 Avenida De La Carlota Ste 100
Laguna Hills, CA 92653-3648
Phone (949) 916-1654

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eck Language Pathologist Corporation Speech-Language Pathologist Current Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Stepping Stones Therapy, Inc Speech-Language Pathologist Past Accepting new patients
Grace Speech Therapy Corp Speech-Language Pathologist PastSince Dec 8, 2024 Accepting new patients

Organizations & group practices 4

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": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1962981605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24875 SEA AIRE",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926291849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 BIRCH ST STE 103",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602226",
            "telephone_number": "949-955-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24422 Avenida De La Carlota Ste 100",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926533648",
            "country_code": "US",
            "telephone_number": "949-916-1654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERRING",
        "first_name": "BREEANNE",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "12671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.