Active NPI
Catherine H Breedon, LRD
- Registered Dietitian
- Fargo, ND
National Provider Identifier
1205853207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1031
- Practice address
- 737 Broadway
Fargo, ND 58122-0001 - Phone
- (701) 234-5022
- Fax
- (701) 234-3047
- NPI assigned
- Jul 16, 2006
- Last updated
- Sep 11, 2008
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1031 | MN | Primary |
Addresses
Primary practice location
737 Broadway
Fargo, ND 58122-0001
Mailing address
737 Broadway
Fargo, ND 58122-0001
Phone (701) 234-5022
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1031 | MN | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221091200000",
"number": "1205853207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 BROADWAY",
"city": "FARGO",
"state": "ND",
"postal_code": "581220001",
"telephone_number": "701-234-5022",
"fax_number": "701-234-3047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 BROADWAY",
"city": "FARGO",
"state": "ND",
"postal_code": "581220001",
"telephone_number": "701-234-5022",
"fax_number": "701-234-3047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEDON",
"first_name": "CATHERINE",
"middle_name": "H",
"credential": "LRD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2008-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "1031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.