MINNIE L BREEDLOVE (NPI# 1902449903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902449903 |
| Entity Type | Individual |
| Full Name | MINNIE L BREEDLOVE |
| Practice Address |
2672 W Ridge Rd Rochester NY 14626-3054 |
| Practice Telephone | 5854781159 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Street Address |
2672 W RIDGE RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255799086 | Rochester Beacon Academy | Local Education Agency (LEA) | 974 Skyline Dr Sw, Rochester, MN 55902-1217 | 2016-02-08 |
| 1205193976 | Rochester Off Campus Charter High School | Local Education Agency (LEA) | 2364 Valleyhigh Dr Nw, Rochester, MN 55901-7641 | 2012-04-18 |
| 1144595182 | West Irondequoit Central School District | Local Education Agency (LEA) | 321 List Ave, Rochester, NY 14617-3125 | 2012-03-08 |
| 1093093338 | The Kessler Center Service of Easter Seals New York | Local Education Agency (LEA) | 402 Rogers Pkwy, Rochester, NY 14617-4738 | 2011-08-03 |
| 1629360359 | Rush-henrietta Central School District | Local Education Agency (LEA) | 133 Vollmer Pkwy, Rochester, NY 14623-5127 | 2011-05-13 |
| 1710279443 | Rush Henrietta Central School District | Local Education Agency (LEA) | 85 Shell Edge Dr, Rochester, NY 14623-4356 | 2011-05-13 |
| 1710216635 | Rochester Community School Corp | Local Education Agency (LEA) | 606 Zebra Lane, Rochester, IN 46975-0108 | 2009-12-24 |
| 1760604078 | Rochester School District | Local Education Agency (LEA) | 150 Wakefield Street, Suite 8, Rochester, NH 03867 | 2007-05-03 |
| 1659494474 | Rochester Community Schools | Local Education Agency (LEA) | 1 Zebra Ln, Rochester, IN 46975-1349 | 2007-04-08 |
| 1336269588 | Old Colony Regional Vocational Technical High School District | Local Education Agency (LEA) | 476 North Ave, Rochester, MA 02770-1811 | 2007-03-30 |
| Find all providers in ROCHESTER | ||||
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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.