Evie Lyn Breedlove, NP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Naples, FL
NPI 1194132233 · NPPES record last updated May 1, 2023
Key facts
- NPI
- 1194132233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 9388499 (FL)
- Practice address
- 1217 Piper Blvd
Ste 101
Naples, FL 34110-1433 - Phone
- (239) 514-2005
- Fax
- (239) 593-0067
- NPI assigned
- Jul 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Optum Behavioral Care of North Carolina PC
Practice addresses (Care Compare)
15455 Collier Blvd
Unit 201
Naples, FL 34119-7874
Phone (239) 514-2005
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180711000721 | FL | Practitioner - Nurse Practitioner | 2062639719 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9388499 | FL | MD | Adult Health Nurse Practitioner |
| APRN9388499 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles (10 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current |
Accepting new patients | |
| Optum Behavioral Care of North Carolina, PC | Current |
Accepting new patients | |
| Richichi Family Health | Current |
Accepting new patients | |
| Florida Medical Specialists, LLC | Current |
Accepting new patients | |
| Optum Behavioral Care of North Carolina, P.C. | Current |
Accepting new patients | |
| Florida Medical Specialists LLC | Current |
Accepting new patients | |
| The Medical Centre of Lehigh Acres Inc | Current |
Accepting new patients | |
| Millennium Physician Group LLC | Current |
Accepting new patients | |
| Florida Medical Specialists LLC | Past | Accepting new patients | |
| Ante Rudez MD PA | Past | Accepting new patients |
Locations
14350 Metropolis Ave
Ste 1
Fort Myers, FL 33912
Phone (239) 275-3036
1303 Homestead Rd N
Ste 102
Lehigh Acres, FL 33936
Phone (239) 303-1139
15455 Collier Blvd
Unit 201
Naples, FL 34119
Phone (239) 514-2005
1217 Piper Blvd
Ste 101
Naples, FL 34110
Phone (239) 514-2005
730 Goodlette Rd
Ste 100
Naples, FL 34102
Phone (239) 263-0849
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
18900 N Tamiami Trl
Ste 9
North Ft Myers, FL 33903
Phone (239) 561-2202
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383
1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005
4700 N Habana Ave
Ste 703
Tampa, FL 33614
Phone (813) 678-2373
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704276952 | MI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN9388499 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | 9388499 | FL | Yes |
Addresses
Primary practice location
1217 Piper Blvd
Ste 101
Naples, FL 34110-1433
Mailing address
1217 Piper Blvd Ste 101
Naples, FL 34110-1433
Phone (239) 514-2005
Other providers in Naples, FL
- Aida Brax
- Breast Center of Naples PLLC
- John Arthur Breault III
- Leah Allison Breder
- Katherine Bredijk
- Breezemed Urgent Care LLC
- Sandra J Bremec
- Brenda J Polewac OD PA
- Caroline Brennan
- Melissa Dawn Bresnahan
All providers in Naples, FL · Adult Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.