Individual provider Active NPI

Christy Garde Breau, D.C.

  • Chiropractor
  • Blue Springs, MO
National Provider Identifier
1982760609
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006622 Issued in MO
Practice address
412 NW Mock Ave
Ste a
Blue Springs, MO 64014-2511
Phone
(816) 224-3440
Fax
(816) 224-3442
NPI assigned
Dec 28, 2006
Last updated
Mar 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006622 MO Primary

Addresses

Primary practice location

412 NW Mock Ave
Ste a
Blue Springs, MO 64014-2511

Mailing address

412 NW Mock Ave
Ste a
Blue Springs, MO 64014-2511
Phone (816) 224-3440

Other identifiers 2

IdentifierTypeStateIssuer
7081050OtherMOAETNA PROVIDER NUMBER
26419029OtherMOBCBS PROVIDER NUMBER

Other names 1

  • Christy Rene Garde Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070324000041 MO Practitioner - Chiropractic 5597869917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

412 NW Mock Ave
Suite a
Blue Springs, MO 64014-2541
Phone (816) 224-3440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006622MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Chiropractic Acupuncture and Nutrition LLC Chiropractor CurrentSince Mar 19, 2008 Accepting new patients
Patrick L. Goldsworthy, D.C., P.C. Chiropractor Past Accepting new patients

Locations

412 NW Mock Ave
Ste A
Blue Springs, MO 64014
Phone (816) 220-9001

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1982760609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 NW MOCK AVE",
            "address_2": "STE A",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142511",
            "telephone_number": "816-224-3440",
            "fax_number": "816-224-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 NW MOCK AVE",
            "address_2": "STE A",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142511",
            "telephone_number": "816-224-3440",
            "fax_number": "816-224-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAU",
        "first_name": "CHRISTY",
        "middle_name": "GARDE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7081050",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "26419029",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "GARDE",
            "middle_name": "RENE",
            "credential": "D.C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.