Organization Active NPI

Breakthrough Clinical Services LLC

  • Family Nurse Practitioner
  • Smithfield, VA
National Provider Identifier
1992482061
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BREAKTHROUGH CLINICAL SERVICES LLC
Practice address
4338 Fort Huger Dr
Smithfield, VA 23430-5364
Phone
(757) 542-3888
Fax
(757) 542-3890
NPI assigned
Jun 30, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Katrina J Griffin, NPNPI 1346803343
Title
Owner
Phone
(757) 542-3888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230907004456 VA Part B Supplier - Clinic/Group Practice 4688038714 Receives reassigned benefits from 1 practitioner
Practice locations: Petersburg, VA; Smithfield, VA

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4338 Fort Huger Dr
Smithfield, VA 23430-5364

Mailing address

4338 Fort Huger Dr
Smithfield, VA 23430-5364
Phone (757) 542-3888

Other practice location 1

2305 Dangerfield Court
Unit 5817
Williamsburg, VA 23185
Phone (757) 542-3888

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2023.

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1992482061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4338 FORT HUGER DR",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234305364",
            "telephone_number": "757-542-3888",
            "fax_number": "757-542-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4338 FORT HUGER DR",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234305364",
            "telephone_number": "757-542-3888",
            "fax_number": "757-542-3890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 Dangerfield Court",
            "address_2": "Unit 5817",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "23185",
            "country_code": "US",
            "telephone_number": "757-542-3888",
            "fax_number": "757-542-3890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BREAKTHROUGH CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-542-3888",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.