Individual provider Active NPI

Breah Chambers, APRN

  • Family Nurse Practitioner
  • Lawrence, KS
National Provider Identifier
1982032926
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
76147 Issued in KS
Practice address
4930 Overland Dr
Lawrence, KS 66049-4132
Phone
(785) 856-0708
Fax
(785) 856-0709
NPI assigned
Oct 30, 2013
Last updated
Aug 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 76147 KS Primary
Family Health Clinical Nurse Specialist 364SF0001X 2013038983 MO

Addresses

Primary practice location

4930 Overland Dr
Lawrence, KS 66049-4132

Mailing address

4930 Overland Dr
Lawrence, KS 66049-4132
Phone (785) 856-0708

Other practice location 1

6400 Prospect Ave
Suite 642
Kansas City, MO 64132-1100
Phone (816) 276-6200

Other identifiers 1

IdentifierTypeStateIssuer
1982032926OtherFAMILY

Other names 1

  • Breah Gould Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Familycenteredmedicine.com Direct

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
76147KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Centered Medicine PastSince Aug 18, 2019 Accepting new patients
Advanced Medical Imaging, LLC PastSince Aug 18, 2019 Accepting new patients

Organizations & group practices 2

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": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1982032926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 OVERLAND DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494132",
            "telephone_number": "785-856-0708",
            "fax_number": "785-856-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 OVERLAND DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494132",
            "telephone_number": "785-856-0708",
            "fax_number": "785-856-0709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 Prospect Ave",
            "address_2": "Suite 642",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641321100",
            "country_code": "US",
            "telephone_number": "816-276-6200",
            "fax_number": "913-495-3720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "BREAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "76147",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "MO",
            "license": "2013038983",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY",
            "identifier": "1982032926",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Familycenteredmedicine.com",
            "affiliation": "N",
            "endpointDescription": "Business website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Unsure",
            "address_1": "4930 Overland Dr",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660494132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BREAH",
            "last_name": "GOULD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.