CHARLENE BREEDLOVE (NPI# 1932512639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932512639 |
| Entity Type | Individual |
| Full Name | CHARLENE BREEDLOVE |
| Practice Address |
5433 State Route 113 Bellevue OH 44811-9708 |
| Practice Telephone | 4194832403 |
| Practice Fax Number | 4194835722 |
| Mailing Telephone | 4194832403 |
| Mailing Fax Number | 4194835722 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | COA-15962-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA-15962-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
COA-15962-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
COA-15962-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5433 STATE ROUTE 113 |
| City | BELLEVUE |
| State | OH |
| Zip Code | 44811-9708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316931942 | William R Bauer | Psychiatry & Neurology | 5433 State Route 113, Bellevue, OH 44811-9708 | 2005-09-09 |
| 1477965390 | Clarity Care, LLC | Psychiatry & Neurology | 5433 State Route 113, Bellevue, OH 44811-9708 | 2014-05-27 |
| 1861823676 | Jacqueline Marie Graziani | Nurse Practitioner | 5433 State Route 113, Bellevue, OH 44811-9708 | 2013-12-04 |
| 1760825301 | Christopher Michael Hassett | Psychiatry & Neurology | 5433 State Route 113, Bellevue, OH 44811-9708 | 2013-04-13 |
| 1942542196 | Adam Martin Kapler | Psychiatry & Neurology | 5433 State Route 113, Bellevue, OH 44811-9708 | 2013-03-25 |
| 1487913109 | Patti J Marinko | Social Worker | 5433 State Route 113, Bellevue, OH 44811-9708 | 2012-05-15 |
| 1649569666 | Angela Lowe | Physician Assistant | 5433 State Route 113, Bellevue, OH 44811-9708 | 2011-03-30 |
| 1285957555 | Advanced Neurologic Associates, Inc | Physical Therapist | 5433 State Route 113, Bellevue, OH 44811-9708 | 2010-03-01 |
| 1689905630 | Angela R Plant | Counselor | 5433 State Route 113, Bellevue, OH 44811-9708 | 2010-01-14 |
| 1194059394 | Advanced Center for Coping and Wellness, LLC | Counselor | 5433 State Route 113, Bellevue, OH 44811-9708 | 2009-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275979296 | Samuel Elias Ross | Family Medicine | 1255 W Main St Ste B, Bellevue, OH 44811 | 2013-05-16 |
| 1376780379 | Firelands Regional Medical Center | General Acute Care Hospital | 290 Progress Drive, Suite A, Bellevue, OH 44811 | 2009-01-13 |
| 1619195914 | Michael Barry Brunner | Pharmacist | 234 W Main Street, Bellevue, OH 44811 | 2007-04-23 |
| 1952524704 | April L Ptak | Massage Therapist | 855 West Main St, Suite E, Bellevue, OH 44811 | 2007-04-10 |
| 1215150057 | Erica Drossman | Massage Therapist | 855 West Main Street, Suite E, Bellevue, OH 44811 | 2007-04-10 |
| 1275644981 | Cornerstone Psychological Affiliates | Counselor | 817 Kilbourne St, Suite F, Bellevue, OH 44811 | 2006-08-31 |
| 1528172475 | Bhms Inc | Durable Medical Equipment & Medical Supplies | 234 West Main St, Bellevue, OH 44811 | 2006-08-18 |
| 1750494530 | Mark Allen Motley | Optometrist | 1355 West Main St, Bellevue, OH 44811 | 2006-08-16 |
| 1487675567 | Orville Rene Amburn | Family Medicine | 250 Castalia St, G, Bellevue, OH 44811 | 2006-07-22 |
| 1457320095 | Erie Surgical Associates | Surgery | 1400 West Main St, Suite D, Bellevue, OH 44811 | 2006-03-16 |
| Find all providers in zip 44811 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111902 | Hailey Marie Baker | Nurse Practitioner | 3055 112th Ave Ne Ste 201, Bellevue, WA 98004-2091 | 2020-10-13 |
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| 1841598448 | Lifecare Family Medicine of Bellevue, PC | Nurse Practitioner | 2510 Bellevue Medical Center Dr # 145a, Bellevue, NE 68123-1520 | 2011-03-05 |
| 1194868406 | Sherry Aanstad | Nurse Practitioner | 117 Ash St, Bellevue, ID 83313-5226 | 2007-02-15 |
| 1245394485 | Christopher Craig | Nurse Practitioner | 16320 Se 15th St, Bellevue, WA 98008-5102 | 2006-12-21 |
| 1679634588 | Douglas R. Penington | Nurse Practitioner | 12717 S 28th Ave, Bellevue, NE 68123-3232 | 2006-12-13 |
| 1023029394 | Kathryn S Deane | Nurse Practitioner | 1715 114th Ave Se, Suite 110, Bellevue, WA 98004-6945 | 2006-08-11 |
| 1245288869 | Lynne B Vigesaa | Nurse Practitioner | 1260 116th Avenue Ne, Suite 100, Bellevue, WA 98004 | 2006-05-05 |
| 1518934199 | Marcia Smith Gordon | Nurse Practitioner | 1632 116th Ave Ne, Suite B, Bellevue, WA 98004-3035 | 2006-03-02 |
| Find all providers in BELLEVUE | ||||
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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.