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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BREANNA ANGELA LOPEZ DNP-FNP
NPI 1215864707
Nurse Practitioner - Family in Nesconset, NY

Active since May 07, 2026
59 SOUTHERN BLVD, NESCONSET, NY 11767(631) 418-8069 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 17, 2026, May 7, 2026 (2 updates tracked since 2026).

About Breanna Angela Lopez Dnp-fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNA ANGELA LOPEZ DNP-FNP (NPI 1215864707) is an individual family provider in Nesconset, New York, licensed in New York (360468) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1215864707
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBREANNA ANGELA LOPEZCredential: DNP-FNP
Location Address59 SOUTHERN BLVDNesconset, NY 11767-1090
Mailing Address59 Southern BlvdNesconset, NY 11767-1090 · (631) 418-8069
Phone(631) 418-8069
Sole ProprietorNo
Enumeration DateMay 7, 2026
Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1215864707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 360468
59 SOUTHERN BLVD, Nesconset, NY 11767
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARIKA RAJU HIRA DO
Family Medicine
59 SOUTHERN BLVD
NESCONSET, NY 11767
Suffolk County (631) 418-8069
MRS. LORI WEBER NPRN
Nurse Practitioner (Primary Care)
59 SOUTHERN BLVD
NESCONSET, NY 11767
Suffolk County (631) 659-1700
JOANNE M. KECHEJIAN M.D.
Internal Medicine
59 SOUTHERN BLVD
NESCONSET, NY 11767
Suffolk County (631) 659-1700
DR. SHABRAIZ RASUL MD
Internal Medicine
59 SOUTHERN BLVD
NESCONSET, NY 11767
Suffolk County (631) 418-8069
DR. PETER GREGG MICHAELSON M.D.
Otolaryngology
59 SOUTHERN BLVD
NESCONSET, NY 11767
Suffolk County (934) 213-5000
DR. ANDREW RADZIK M.D.
Internal Medicine
59 SOUTHERN BLVD
NESCONSET, NY 11767
Suffolk County (631) 659-1700
LIDIA MIKOLAENKO
Family Medicine
59 SOUTHERN BLVD
NESCONSET, NY 11767
Suffolk County (631) 628-5000
AUGUSTUS G MANTIA MD
Internal Medicine
59 SOUTHERN BLVD
NESCONSET, NY 11767
Suffolk County (631) 659-1700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Lopez's NPI number?

The NPI number for Breanna Lopez is 1215864707. It was assigned to this individual provider in the NPPES registry on May 7, 2026.

Where is Breanna Lopez located?

Breanna Lopez practices at 59 Southern Blvd, Nesconset, NY 11767. The listed phone number is (631) 418-8069.

What is Breanna Lopez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Breanna Lopez was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.