Individual provider Active NPI

Megan L Breeden, APRN, MSN, CPNP-AC

  • Pediatric Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1386987634
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
17032 Issued in TN
Practice address
915 S Garden St
Columbia, TN 38401
Phone
(931) 548-8090
Fax
(931) 548-8110
NPI assigned
Apr 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 17032 TN Primary
Acute Care Nurse Practitioner 363LA2100X 17032 TN

Addresses

Primary practice location

915 S Garden St
Columbia, TN 38401

Mailing address

915 S Garden St
Columbia, TN 38401-3205
Phone (931) 548-8090

Other practice location 1

2200 Childrens Way
Nashville, TN 37232-0005
Phone (615) 936-0023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170221000341 TN Practitioner - Nurse Practitioner 3870876758 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17032TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Family Health, LLC CurrentSince Dec 18, 2016 Accepting new patients

Locations

1501 Hatcher Ln
Ste A
Columbia, TN 38401
Phone (931) 548-8090

915 S Garden St
Columbia, TN 38401
Phone (931) 548-8090

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24835/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1386987634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 S GARDEN ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013205",
            "telephone_number": "931-548-8090",
            "fax_number": "931-548-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S GARDEN ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "931-548-8090",
            "fax_number": "931-548-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Childrens Way",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320005",
            "country_code": "US",
            "telephone_number": "615-936-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREEDEN",
        "first_name": "MEGAN",
        "middle_name": "L",
        "credential": "APRN, MSN, CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "17032",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "17032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.