Individual provider Active NPI

Sandra L Breeding, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1538190459
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4094P Issued in KY
Practice address
805 Newtown Cir Ste a
Lexington, KY 40511-1240
Phone
(859) 288-2483
Fax
(859) 288-2455
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4094P KY Primary

Addresses

Primary practice location

805 Newtown Cir Ste a
Lexington, KY 40511-1240

Mailing address

805 Newtown Cir Ste a
Lexington, KY 40511-1240
Phone (859) 288-2483

Other identifiers 1

IdentifierTypeStateIssuer
78010881MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050525000061 KY Practitioner - Nurse Practitioner 2668414129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

120 Professional Ave
Unit 120
Winchester, KY 40391-1116
Phone (800) 683-8313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4094PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recover Together, Inc. Family CurrentSince Oct 1, 2020 Accepting new patients

Locations

937 29th St
Ste A
Ashland, KY 41101
Phone (859) 429-2026

919 Chambers Blvd
Ste D
Bardstown, KY 40004
Phone (502) 348-5885

1480 W Cumberland Gap Pkwy
Corbin, KY 40701
Phone (606) 393-6695

3220 Dixie Hwy
Erlanger, KY 41018
Phone (270) 225-4649

110 Saint James Ct
Ste E
Frankfort, KY 40601

277 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 435-0888

386 Waller Ave
Ste 103
Lexington, KY 40504

1501 S Main St
Ste H
London, KY 40741
Phone (270) 634-0472

9616 Dixie Hwy
Louisville, KY 40272
Phone (502) 933-6400

3032 Alvey Park Dr W
Ste 400
Owensboro, KY 42303
Phone (606) 393-6695

3127 Parisa Dr
Paducah, KY 42003
Phone (270) 442-6739

255 Church St
Unit 2C
Pikeville, KY 41501

10599 US Highway 25 E
Pineville, KY 40977

401 Bogle St
Ste 205
Somerset, KY 42503
Phone (606) 678-8800

120 Professional Ave
Unit 120
Winchester, KY 40391

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1538190459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 NEWTOWN CIR STE A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111240",
            "telephone_number": "859-288-2483",
            "fax_number": "859-288-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 NEWTOWN CIR STE A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111240",
            "telephone_number": "859-288-2483",
            "fax_number": "859-288-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDING",
        "first_name": "SANDRA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4094P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78010881",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.