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BREANNA MICHELLE GREAVES
NPI 1386536647
Student in an Organized Health Care Education/Training Program in Fayetteville, AR

Active since July 18, 2025PECOS Enrolled
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 713-8000 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Breanna Michelle Greaves NPPES

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

BREANNA MICHELLE GREAVES (NPI 1386536647) is an individual student in an organized health care education/training program in Fayetteville, Arkansas and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386536647
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBREANNA MICHELLE GREAVES
Location Address1125 N COLLEGE AVEFayetteville, AR 72703-1908
Mailing Address3915 Allison Ln Apt 202Springdale, AR 72762-0667
Phone(479) 713-8000
Sole ProprietorNo
Enumeration DateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1386536647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1125 N COLLEGE AVE, Fayetteville, AR 72703
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breanna Michelle Greaves is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

GRACE WOOD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 713-8000
COLIN CARR MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 463-3370
JENNIFER STEINAUER PTA
Physical Therapy Assistant
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 713-8630
RYAN RUSSELL
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
KELVIN VANN
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
LUKE TOLLETT MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
DR. TONY SCOTT ROLLER II MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
DR. JAMILA WEATHERLY MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260

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 Greaves's NPI number?

The NPI number for Breanna Greaves is 1386536647. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Breanna Greaves located?

Breanna Greaves practices at 1125 N College Ave, Fayetteville, AR 72703. The listed phone number is (479) 713-8000.

What is Breanna Greaves's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Breanna Greaves enrolled in Medicare?

Yes. Breanna Greaves is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Breanna Greaves was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.