DR. KIMBERLY THOMPSON BREEDEN (NPI# 1619920303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619920303 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY THOMPSON BREEDEN |
| Credential | MD |
| Practice Address |
421 Old Riceville Rd Ste 2 Athens TN 37303-3074 |
| Practice Telephone | 4237448755 |
| Practice Fax Number | 4237448568 |
| Mailing Telephone | 4237448755 |
| Mailing Fax Number | 4237448568 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD019704 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 5440439 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447740410 | Kimberly Dawn Breeden | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2018-05-15 |
| 1609277920 | Kimberly Breeden | Occupational Therapist | 1128 E Weisgarber Rd, Suite 100, Knoxville, TN 37909-2674 | 2014-09-05 |
| 1710213798 | Kimberly Ruble Breeden | Occupational Therapist | 1257 Marywood Ln, Richmond, VA 23229-6059 | 2009-10-26 |
| Street Address |
421 OLD RICEVILLE RD STE 2 |
| City | ATHENS |
| State | TN |
| Zip Code | 37303-3074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942767264 | Simon Bessette | Physician Assistant | 421 Old Riceville Rd Ste 2, Athens, TN 37303-3074 | 2019-02-22 |
| 1811368830 | Regena Shelton | Nurse Practitioner | 421 Old Riceville Rd Ste 2, Athens, TN 37303-3074 | 2015-10-16 |
| 1659670412 | Covenant Pediatrics, Pllc | Clinic/Center | 421 Old Riceville Rd Ste 2, Athens, TN 37303-3074 | 2011-03-19 |
| 1326271370 | Elizabeth A Cruttenden | Nurse Practitioner | 421 Old Riceville Rd Ste 2, Athens, TN 37303-3074 | 2009-08-25 |
| 1275764847 | Constance F Cowherd | Nurse Practitioner | 421 Old Riceville Rd Ste 2, Athens, TN 37303-3074 | 2009-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1679002059 | Ashley Y Davis | Nurse Practitioner | 909 Congress Pkwy N, Athens, TN 37303 | 2017-06-08 |
| 1417312521 | Wanda J Dennis | Case Manager/Care Coordinator | 708 Virginia Avenue, Athens, TN 37303 | 2015-12-17 |
| 1376975276 | Jeffrey Allen Hanson | Occupational Therapy Assistant | 1204 Frye Street, Athens, TN 37303 | 2013-08-01 |
| 1043596794 | Jennifer Donahoo | Pharmacist | 1302 Congress Parkway S., Athens, TN 37303 | 2011-10-26 |
| 1093009938 | Leah Calla | Registered Nurse | 393 County Rd 554, Athens, TN 37303 | 2011-06-08 |
| 1407038201 | Carl Quinn Osborn | Orthopaedic Surgery | 627 Congress Parkway South, Athens, TN 37303 | 2007-12-04 |
| 1972791903 | Angela Colleen Stokes | Nurse Practitioner | 1805 Ingleside Dr, Athens, TN 37303 | 2007-10-03 |
| Find all providers in zip 37303 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275950420 | Meredith Grace Merkley | Pediatrics | 6561 Lemaster Rd, Athens, OH 45701-9134 | 2014-03-26 |
| 1356661599 | Amy Marie Zidron | Pediatrics | 24 W Green Dr Ste 329, Athens, OH 45701-2974 | 2010-06-10 |
| 1003131244 | James Nicholas Frisk | Pediatrics | 125 Telfair Pl, Athens, GA 30606-3237 | 2010-03-31 |
| 1982898383 | Victor E Payton Md, PC | Pediatrics | 700 Oglethorpe Ave # 3, Athens, GA 30606-2221 | 2007-08-29 |
| 1083771398 | Patrick E Phelan | Pediatrics | 1500 Oglethorpe Ave Bldg 600, Athens, GA 30606-2179 | 2007-01-03 |
| 1346303575 | Christian D Lindsey | Pediatrics | 1500 Oglethorpe Ave Ste 600a, Athens, GA 30606-2185 | 2006-12-19 |
| 1881757193 | Athen Kids Specialists P.c | Pediatrics | 650 Oglethorpe Ave., Ste 4, Athens, GA 30303-2216 | 2006-12-18 |
| 1386726446 | Bibi Lee Teng | Pediatrics | 1005 West Market Street, Suite 4, Athens, AL 35611 | 2006-10-19 |
| 1316049059 | Saji K Gopinathan | Pediatrics | 119 Epperson St, Athens, TN 37303-3478 | 2006-09-02 |
| 1750306429 | Venkatappa N Murthy | Pediatrics | 555 Research Dr, Athens, GA 30605-2729 | 2006-07-13 |
| Find all providers in ATHENS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.