KELLI BREIDENBACH (NPI# 1205251865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205251865 |
| Entity Type | Individual |
| Full Name | KELLI BREIDENBACH |
| Credential | PA-C |
| Practice Address |
360 Peak One Drive Suite 180 Frisco CO 80443 |
| Mailing Address |
Po Box 1303 Frisco CO 80443-1303 |
| Practice Telephone | 9706683633 |
| Practice Fax Number | 9706684406 |
| Mailing Telephone | 9706683633 |
| Mailing Fax Number | 9706684406 |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2016-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
4694 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
360 PEAK ONE DRIVE SUITE 180 |
| City | FRISCO |
| State | CO |
| Zip Code | 80443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235135385 | Javier Gutierrez | Obstetrics & Gynecology | 360 Peak One Drive, Ste 260, Frisco, CO 80443 | 2005-06-23 |
| 1356948475 | Allergy, Asthma & Immunology of The Rockies, PC | Allergy & Immunology | 360 Peak One Drive, Suite #300, Frisco, CO 80443 | 2020-10-01 |
| 1033767942 | Olivia Lent | Physical Therapist | 360 Peak One Drive, Suite 190, Frisco, CO 80443 | 2019-09-04 |
| 1588211791 | Vail Clinic, Inc. | Clinic/Center | 360 Peak One Drive, Suite 370, Frisco, CO 80443 | 2019-08-22 |
| 1245892033 | Colleen Mintz | Nurse Practitioner | 360 Peak One Drive, Suite 180, Frisco, CO 80443-1303 | 2019-07-02 |
| 1881251155 | Colorado West Regional Mental Health, Inc. | Clinic/Center | 360 Peak One Drive, Suite 110, Frisco, CO 80443 | 2019-05-22 |
| 1962069237 | Colorado West Regional Mental Health, Inc. | Community/Behavioral Health | 360 Peak One Drive, Suite 130, Frisco, CO 80443 | 2019-05-22 |
| 1558928820 | Colorado West Regional Mental Health, Inc. | Clinic/Center | 360 Peak One Drive, Suite 140, Frisco, CO 80443 | 2019-05-22 |
| 1518524958 | Marshall Alexander Kowal | Counselor | 360 Peak One Drive, Ste.110, Frisco, CO 80443 | 2019-05-21 |
| 1194292714 | Kayle Hisey | Physician Assistant | 360 Peak One Drive, Suite 180, Frisco, CO 80443 | 2018-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254215 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 340 Peak Oned Drive, Frisco, CO 80443 | 2020-10-30 |
| 1073139267 | Colorado Mountain Medical, LLC | Internal Medicine | 323 West Main Street, Suite 101, Frisco, CO 80443 | 2020-06-23 |
| 1720611882 | Michael Shanser | Counselor | 101 West Main Suite 301, Frisco, CO 80443 | 2020-02-18 |
| 1407499205 | Kerri Hudgins | Dental Hygienist | 360 Peak One Drive, Suite 325, # 4337, Frisco, CO 80443 | 2019-10-24 |
| 1134762123 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Peak One Blvd, Ste 390, Frisco, CO 80443 | 2019-10-22 |
| 1881241172 | Shannon Maser | Chiropractor | 117 S. 6th Ave, Unit 2, Frisco, CO 80443 | 2019-08-21 |
| 1508421785 | Juli M Joyce | Preventive Medicine | 360 Peak One Dr #230, Frisco, CO 80443 | 2019-05-03 |
| 1194288449 | Sara Christian Broughton | Peer Specialist | 360 Peak One Dr Ste 130, Frisco, CO 80443 | 2019-04-12 |
| 1093275299 | Atis Spuris | Peer Specialist | 360 Peak One Dr Ste 140, Frisco, CO 80443 | 2019-03-22 |
| 1427520469 | Claire Melissa Mann | Nurse Practitioner | 984 Ten Mile Dr., Suite 3, Frisco, CO 80443 | 2018-12-31 |
| Find all providers in zip 80443 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
| 1568882926 | Premier Surgical Assists of North Texas Pllc | Physician Assistant | 4401 Coit Rd Ste 305, Frisco, TX 75035-0509 | 2014-04-23 |
| 1588613723 | Angela Gale Sanders-banuelas | Physician Assistant | 4461 Coit Rd Ste 101, Frisco, TX 75035-0522 | 2006-05-06 |
| 1215904289 | Mark Anthony Perkins | Physician Assistant | 3245 W Main St, Suite 235-182, Frisco, TX 75034-4411 | 2006-03-08 |
| 1508424169 | Heritage Surgical Assist Associates Pllc | Physician Assistant | 5550 Warren Pkwy Ste 200, Frisco, TX 75034-7399 | 2019-05-30 |
| 1285978098 | Neurosurgical Pas of North Texas, Pa | Physician Assistant | 4461 Coit Rd., Suite 405, Frisco, TX 75035 | 2012-11-16 |
| 1346530086 | Perkins 1st Assistants LLC | Physician Assistant | 3245 W Main St, Ste 235-182, Frisco, TX 75034-4411 | 2011-04-14 |
| 1225155633 | Trisha Trevino Fennell | Physician Assistant | 4461 Coit Rd, Suite 301, Frisco, TX 75035-0521 | 2007-03-23 |
| 1033241732 | Michael Lee Burns | Physician Assistant | 4461 Coit Rd, Ste 101, Frisco, TX 75035-0521 | 2007-03-09 |
| 1043359136 | Annie M. Bowen | Physician Assistant | 360 Peak One Drive, Suite 180, Frisco, CO 80443 | 2007-02-05 |
| Find all providers in FRISCO | ||||
Please comment or provide details below to improve the information on KELLI BREIDENBACH.
| 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.