MICHELLE BREEDLOVE (NPI# 1316432099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316432099 |
| Entity Type | Individual |
| Full Name | MICHELLE BREEDLOVE |
| Credential | NP-C |
| Practice Address |
63 Blackstock Rd Inman SC 29349-1835 |
| Mailing Address |
Po Box 545 Columbus NC 28722-0545 |
| Practice Telephone | 8644729055 |
| Mailing Telephone | 8034936816 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2019-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22324 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2511 Old Cornwallis Rd Ste 200, Durham, NC 277131869 | 9199325700 | 9199336881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023435724 | Michelle Marie Breedlove | Nurse Practitioner | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2014-03-20 |
| Street Address |
63 BLACKSTOCK RD |
| City | INMAN |
| State | SC |
| Zip Code | 29349-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689761876 | Thi of South Carolina At Magnolia Manorinman, LLC | Skilled Nursing Facility | 63 Blackstock Rd, Inman, SC 29349-1835 | 2006-10-07 |
| 1982804480 | Julie Hicks Traynham | Physical Therapy Assistant | 63 Blackstock Rd, Inman, SC 29349-1835 | 2007-07-23 |
| 1356540611 | Kathryn Holloway Warmack | Physical Therapy Assistant | 63 Blackstock Rd, Inman, SC 29349-1835 | 2007-07-16 |
| 1780883041 | Kristen M Huffman | Occupational Therapist | 63 Blackstock Rd, Inman, SC 29349-1835 | 2007-07-16 |
| 1467651893 | Sarah E Estes | Occupational Therapy Assistant | 63 Blackstock Rd, Inman, SC 29349-1835 | 2007-07-16 |
| 1528267960 | Rusty Allen Godfrey | Occupational Therapy Assistant | 63 Blackstock Rd, Inman, SC 29349-1835 | 2007-07-16 |
| 1801095179 | John Kevin Wilkerson | Occupational Therapy Assistant | 63 Blackstock Rd, Inman, SC 29349-1835 | 2007-07-16 |
| 1922207380 | Philip Alonzo Discaya | Physical Therapist | 63 Blackstock Rd, Inman, SC 29349-1835 | 2007-07-16 |
| 1972702272 | Natasha Beaumont | Physical Therapy Assistant | 63 Blackstock Rd, Inman, SC 29349-1835 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129336 | Shela Beth Hipolito | Nurse Practitioner | 1827, 59 Blackstock Rd, Inman, SC 29349 | 2018-09-26 |
| 1669784054 | Carolina Vision Associates, LLC | Optometrist | 43 N. Main Street, Inman, SC 29349 | 2010-07-14 |
| 1902038797 | Thomas William Beauchamp Sr. | Dentist | 26 Mill St., Thomas W. Beauchamp Dds, Inman, SC 29349 | 2009-08-13 |
| 1104026111 | Analyn M Mccutchen | Physical Therapist | 63 Blacstock Rd, Inman, SC 29349 | 2007-07-19 |
| 1417053406 | Lake Bowen Dental | Dentist | 8810 Hwy 9, Inman, SC 29349 | 2006-09-16 |
| 1669405262 | Nicole Korin Lavis | Physician Assistant | 12051 Asheville Hwy, Inman, SC 29349 | 2006-07-08 |
| 1528018322 | Catherine Eloy Hunt | Family Medicine | 12330 Asheville Highway, Inman, SC 29349 | 2006-05-11 |
| 1609347822 | Oakridge Heath Care Limited Liability Company | General Practice | 2470 Old Mill Rd, Inman, SC 29349 | 2018-12-16 |
| 1316281199 | Stephanie Nicole Patterson | Pharmacist | 2470 Old Mill Rd, Inman, SC 29349 | 2012-11-19 |
| 1659650968 | Tumana Scott | Massage Therapist | 5073 Highway 9, Inman, SC 29349 | 2011-08-04 |
| Find all providers in zip 29349 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143517 | Lakeisha Kierra Turner | Nurse Practitioner | 304 S Ivestor Ct, Inman, SC 29349-7208 | 2020-01-23 |
| 1851950596 | Louise W Swindler | Nurse Practitioner | 718 Midnight Rd, Inman, SC 29349-9081 | 2019-06-06 |
| 1386129336 | Shela Beth Hipolito | Nurse Practitioner | 1827, 59 Blackstock Rd, Inman, SC 29349 | 2018-09-26 |
| 1235795246 | Amber Christine Flynn | Nurse Practitioner | 12230 Asheville Hwy, Inman, SC 29349-1845 | 2019-05-15 |
| 1861926685 | Heather Michelle Lawter | Nurse Practitioner | 575 Ingles Dr, Inman, SC 29349-8314 | 2017-04-18 |
| 1790153203 | Melissa Blair Kimbrell | Nurse Practitioner | 575 Ingles Dr, Inman, SC 29349-8314 | 2015-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
| 1407454853 | William Andrew Haislip | Nurse Practitioner | 109 Anita St, Greer, SC 29651-3814 | 2020-10-16 |
| 1912505652 | Mattison Williams Craig | Nurse Practitioner | 108 Woodstock Ln, Greer, SC 29650-3918 | 2020-10-14 |
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1285231845 | Shannon Marie Dunlap | Nurse Practitioner | 3792 Home Branch Rd, Manning, SC 29102-4109 | 2020-10-07 |
| 1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
| 1497352595 | Margaret Ann Regnery | Nurse Practitioner | 900 Island Park Dr Ste 104, Daniel Island, SC 29492-7560 | 2020-10-02 |
| 1417564709 | John P Rainchuso | Nurse Practitioner | 299 Three Runs Creek Way, Aiken, SC 29803-1680 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHELLE BREEDLOVE.
| 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.