MS. KRISTINA MICHELLE BREEDING


Address: 10409 Burnet Rd, Austin, TX 78758-4410
Phone: 5128549165

MS. KRISTINA MICHELLE BREEDING (NPI# 1992923189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992923189
Entity Type Individual
Full Name MS. KRISTINA MICHELLE BREEDING
Credential MA,LCDC,ICADC,CADC-2
Practice Address 10409 Burnet Rd
Austin
TX 78758-4410
Mailing Address 206 Camellia Dr
Hutto
TX 78634-4577
Practice Telephone 5128549165
Mailing Telephone 9164590777
Enumeration Date 2007-04-23
Last Update Date 2016-11-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
13619 TX Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 10409 BURNET RD
City AUSTIN
State TX
Zip Code 78758-4410

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1881249092 Elizabeth Logan Anderson Behavioral Analyst 2100 Kramer Ln., Suite 150, Austin, TX 78758 2019-08-05
1295388502 Bridget Sue Morgan Behavioral Analyst 2100 Kramer Ln #150, Austin, TX 78758 2019-07-17
1508326885 Jonathan James Runnels Anesthesiologist Assistant 12221n Mopac, Austin, TX 78758 2019-03-22
1427527324 Nayely Gutierrez Dietitian, Registered 8606 Delaware Ct, Austin, TX 78758 2018-11-20
1720569635 Shari Wright Licensed Vocational Nurse 12349 Metric Blvs # 425, Austin, TX 78758 2018-08-28
1528545456 Alexis N Bongiorno Registered Nurse 11901 Hobby Horse Court, 1516, Austin, TX 78758 2018-07-24
1679072573 Lori Scott Counselor 1600 Payton Gin Road, Austin, TX 78758 2018-02-06
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1477104511 Y. Diana Johnson Counselor 7901 Cameron Rd Ste 2-139, Austin, TX 78754-3802 2019-09-20
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1285112581 Sara Galindo Counselor 1409 Sanchez St Unit A, Austin, TX 78702-1638 2018-07-30
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Competitor

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City AUSTIN
Zip Code 78758

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Dataset Information

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.

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