Teresa Jean Breedlove, MS RD LDN CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L000721 Issued in NC

Practice address

777 Casino Dr
Cherokee, NC 28719-9761

Phone

(828) 497-8858

Fax

(828) 497-8576

NPI assigned

Aug 15, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Teresa Estes Breedlove Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1114275658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CASINO DR",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "287199761",
            "telephone_number": "828-497-8858",
            "fax_number": "828-497-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CASINO DR",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "287199761",
            "telephone_number": "828-497-8858",
            "fax_number": "828-497-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDLOVE",
        "first_name": "TERESA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MS RD LDN CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L000721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "BREEDLOVE",
            "middle_name": "ESTES",
            "prefix": "MS.",
            "credential": "MS RD LDN CDE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristen Bossert
• Thomas Seth Bouchard
• Nicole Boudreaux, LCSWA
• Sarah Bowman, SLP
• Molly Bracknell, MSW
• Penny Jean Brewster, M.D.
• Mackenzie Brisendine
• Harry James Brown, M.D.
• Jennifer J Brown, RD
• Kellie Leigh Brown, MSW, LCSW-A

• Registered Dietitian in Cherokee, NC
• Providers in Cherokee, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.