Active NPI
Gomel N. Breedlove, LMSW
- Health Educator
- Rochester, NY
National Provider Identifier
1043593429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 045656-1
- Practice address
- 30 Hart St
Room 402
Rochester, NY 14605-1122 - Phone
- (585) 454-1095
- NPI assigned
- Sep 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 045656-1 | NY | Primary |
Addresses
Primary practice location
30 Hart St
Room 402
Rochester, NY 14605-1122
Mailing address
30 Hart St
Rochester, NY 14605-1122
Phone (585) 454-1095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045656-1 | NY | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1043593429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 HART ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146051122",
"telephone_number": "585-454-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HART ST",
"address_2": "ROOM 402",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146051122",
"telephone_number": "585-454-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEDLOVE",
"first_name": "GOMEL",
"middle_name": "N.",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NY",
"license": "045656-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
- Breaking Boundaries Occupational Therapy Services, PLLC
- Breast Cancer Surgery of the University of Rochester
- Ryan Paul Brecker, M.D.
- Diane Elizabeth Bredes-Nies, SPEECH LANGUAGE PATH
- Danielle Breed, NP
- Irene Breedlove
- Minnie L Breedlove
- Whitney Breedlove, DOULA
- Amy S Breese
- Christina Lynne Breese, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.