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SUE ELLEN BREESE ANP-BC
NPI 1679757116
Nurse Practitioner - Adult Health in Kansas City, MO

Active since December 19, 2007
5950 N. OAK TRFY, SUITE 104, KANSAS CITY, MO 64118(816) 268-8501(816) 452-5700 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 19, 2022, Sep 4, 2020, Jun 23, 2016 (3 updates tracked since 2016).

About Sue Ellen Breese Anp-bc NPPES

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

SUE ELLEN BREESE ANP-BC (NPI 1679757116) is an individual adult health provider in Kansas City, Missouri, licensed in Missouri (2001005022) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1679757116
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUE ELLEN BREESECredential: ANP-BC
Location Address5950 N. OAK TRFY, SUITE 104Kansas City, MO 64118-5164
Mailing Address5950 N Oak Trfy Ste 104Kansas City, MO 64118-5164 · (816) 268-8501
Phone(816) 268-8501
Fax(816) 452-5700
Sole ProprietorNo
Enumeration DateDecember 19, 2007
Last NPPES UpdateApril 19, 20223 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
✔ NPI 1679757116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in MO · 2001005022✔ Licensed in KS · 53-46184-042
Also ListedRegistered NurseTaxonomy 163W00000X · License 14-97852-042 (KS), 2001005022 (MO)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 2001005022 (MO)
5950 N. OAK TRFY, Kansas City, MO 64118
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Other Names 1

Former Name (1)Sue Ellen Ray

Other Identifiers 2

Medicaid1679757116MO
Medicaid200633510BKS

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 Sue Breese's NPI number?

The NPI number for Sue Breese is 1679757116. It was assigned to this individual provider in the NPPES registry on December 19, 2007. The provider is also known as Sue Ellen Ray.

Where is Sue Breese located?

Sue Breese practices at 5950 N. Oak Trfy Suite 104, Kansas City, MO 64118. The listed phone number is (816) 268-8501.

What is Sue Breese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Sue Breese was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.