Active NPI
Elizabeth Breedlove, LMSW
- Social Worker
- Fairway, KS
National Provider Identifier
1255797908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9793
- Practice address
- 5301 Norwood St
Fairway, KS 66205-2647 - Phone
- (913) 636-3267
- NPI assigned
- Jan 11, 2016
- Last updated
- Jan 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 9793 | KS | Primary |
Addresses
Primary practice location
5301 Norwood St
Fairway, KS 66205-2647
Mailing address
9705 W 93Rd St
Overland Park, KS 66212-4806
Phone (913) 636-3267
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 |
|---|---|---|---|
| 9793 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452470400000",
"number": "1255797908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9705 W 93RD ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662124806",
"telephone_number": "913-636-3267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 NORWOOD ST",
"city": "FAIRWAY",
"state": "KS",
"postal_code": "662052647",
"telephone_number": "913-636-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEDLOVE",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-11",
"last_updated": "2016-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "9793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairway, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.