BREANNA PUCKETT
NPI 1912614017
Case Manager/Care Coordinator in Columbus, OH

Q: What is Breanna Puckett's NPI number?

The NPI number for Breanna Puckett is 1912614017. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Q: What is Breanna Puckett's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Breanna Puckett was last updated on March 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 31, 2022

3556 SULLIVANT AVE, COLUMBUS, OH 43204(614) 827-1307 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2025, Oct 31, 2022 (2 updates tracked since 2022).

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About Breanna Puckett NPPES

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

BREANNA PUCKETT (NPI 1912614017) is an individual case manager/care coordinator provider in Columbus, Ohio and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1912614017

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameBREANNA PUCKETT

Location Address3556 SULLIVANT AVEColumbus, OH 43204-1153

Mailing Address6037 Cleveland AveColumbus, OH 43231-2256 · (614) 267-7003

Phone(614) 827-1307

Sole ProprietorNo

Enumeration DateOctober 31, 2022

Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration

NPPES CertifiedMarch 12, 2025

✔ NPI 1912614017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

3556 SULLIVANT AVE, Columbus, OH 43204

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