Breakfield, Carisa

Breakfield, Carisa is an sole proprietor health care provider with primary practice located at 634 Mount Carmel Church Rd , Foxworth MS 39483-4020. She recently has 10 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Nursing Service Providers / Licensed Practical Nurse, Other Service Providers / Midwife, Lay, Technologists, Technicians & Other Technical Service Providers / Phlebotomy, Ambulatory Health Care Facilities / Clinic/Center, Hospitals / Religious Nonmedical Health Care Institution, Managed Care Organizations / Point of Service, Nursing Service Related Providers / Doula, Respite Care Facility / Respite Care, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Breakfield, Carisa can be contacted via phone (601) 341-5835.

Contact Information

Primary practice address
634 Mount Carmel Church Rd Foxworth MS 39483-4020
Phone: (601) 341-5835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Nursing Service Providers / Licensed Practical Nurse 164W00000X 335283 Mississippi
Other Service Providers / Midwife, Lay 175M00000X 2018245238 Louisiana
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X 332149 Mississippi
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Mississippi
Hospitals / Religious Nonmedical Health Care Institution 282J00000X Mississippi
Managed Care Organizations / Point of Service 305S00000X
Nursing Service Related Providers / Doula 374J00000X 335283 Mississippi
Respite Care Facility / Respite Care 385H00000X
Other Service Providers / Midwife 176B00000X

Profile Details

NPI number 1235615188
LBN Legal business name Breakfield, Carisa
Credentials LPN, CD, CBE, DEM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2018
Last updated Jul 26th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235615188 NPPES
Mississippi Other 335283 LPN LICENSE
Mississippi Other 57529 LPN LICENSE
Mississippi Other IMP20H8WFDS5 LPN LICENSE
Mississippi Other 20182452 LPN LICENSE

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