MRS. ELIZABETH ANN BREEDLOVE (NPI# 1982844213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982844213 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH ANN BREEDLOVE |
| Credential | FNP |
| Practice Address |
810 N Hill St Suite 2 Tatum TX 75691-1740 |
| Practice Telephone | 9039472020 |
| Practice Fax Number | 9039473292 |
| Mailing Telephone | 9039472020 |
| Mailing Fax Number | 9039473292 |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2014-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
691969 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255797908 | Elizabeth Breedlove | Social Worker | 5301 Norwood St, Fairway, KS 66205-2647 | 2016-01-11 |
| 1730496811 | Elizabeth Breedlove | Speech-Language Pathologist | 1086 Jenkins Branch Ln, Mount Ulla, NC 28125-8699 | 2010-09-09 |
| Street Address |
810 N HILL ST SUITE 2 |
| City | TATUM |
| State | TX |
| Zip Code | 75691-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679626097 | Michael J Weber | Emergency Medicine | 810 N Hill St, Suite 2, Tatum, TX 75691-1740 | 2007-01-19 |
| 1356740054 | Elizabeth Breedlove Family Practice & Aesthetics Pllc | Nurse Practitioner | 810 N Hill St, Suite 2, Tatum, TX 75691-1740 | 2014-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134357494 | Tatum Isd | Local Education Agency (LEA) | 510 Crystal Farms Road, Tatum, TX 75691 | 2009-06-25 |
| 1790836369 | David Maurice Mcpeek | Dentist | 140 W. Beauregard, Tatum, TX 75691 | 2007-01-12 |
| 1023425469 | Heather Grindle | Nurse Practitioner | 800 N Hill St, Tatum, TX 75691 | 2014-07-17 |
| 1225295298 | Phynet, Inc | Clinic/Center | 800 N Hill St, Tatum, TX 75691-1740 | 2008-05-19 |
| 1700105129 | Phynet, Inc | Clinic/Center | 800 N Hill St, Tatum, TX 75691-1740 | 2010-05-25 |
| 1912007360 | Brookshire Brothers Inc | Pharmacy | 420 N Hill St, Tatum, TX 75691-1783 | 2006-09-25 |
| 1710445143 | Naomi Renee Flores | Licensed Vocational Nurse | 160 Cherry St, Tatum, TX 75691-1927 | 2019-03-05 |
| 1003180159 | Concentra Health Services Inc | Clinic/Center | 8850 Fm 2658 N, Tatum, TX 75691-3401 | 2012-03-06 |
| 1639561459 | Diana Lomas | Occupational Therapy Assistant | 298 County Road 2188d N, Tatum, TX 75691-3719 | 2015-03-03 |
| 1417444027 | Gwen Boykin | Licensed Vocational Nurse | 19232 County Road 2187 E, Tatum, TX 75691-3768 | 2018-04-18 |
| Find all providers in zip 75691 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366816829 | Mary Kay Ragan | Nurse Practitioner | 310 N. Main, Tatum, NM 88267 | 2015-11-20 |
| 1356740054 | Elizabeth Breedlove Family Practice & Aesthetics Pllc | Nurse Practitioner | 810 N Hill St, Suite 2, Tatum, TX 75691-1740 | 2014-08-19 |
| 1023425469 | Heather Grindle | Nurse Practitioner | 800 N Hill St, Tatum, TX 75691 | 2014-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.