Kimberly Thompson Breeden, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD019704 Issued in TN

Practice address

421 Old Riceville Rd Ste 2
Athens, TN 37303-3074

Phone

(423) 744-8755

Fax

(423) 744-8568

NPI assigned

May 17, 2006

Last updated

Sep 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr_kimberly_breeden@yourcarecommunity.org
• Direct secure messaging: kimberly.breeden@covpeds.directbygreenway.com

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Covenant Pediatrics, PLLC

  • Rural Health Clinic/Center
  • Athens, TN
  • NPI 1659670412

  Sold to, 2018-01-01

  CMS change of ownership

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

• Covenant Pediatrics, PLLC

  • Rural Health Clinic/Center
  • Athens, TN
  • NPI 1659670412

  Pediatrics

  NPD
• Athens Regional Medical Center LLC

  dba Starr Regional Medical Center

  • General Acute Care Hospital
  • Athens, TN
  • NPI 1669567319
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1619920303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 OLD RICEVILLE RD STE 2",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033074",
            "telephone_number": "423-744-8755",
            "fax_number": "423-744-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 OLD RICEVILLE RD STE 2",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033074",
            "telephone_number": "423-744-8755",
            "fax_number": "423-744-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDEN",
        "first_name": "KIMBERLY",
        "middle_name": "THOMPSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD019704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Borba
• Kimberly S Borris, P.A.
• William R Bowers, MD
• Samantha Nicole Bowling, PTA
• Ian Padraic Brady
• Caleb Michal Breese, CP
• Tara Bridges, RN
• Aaron Raymond Brown, LCSW
• Joscalyn Raye Brown
• Preston W Brown, M.D.

• Pediatrics Physician in Athens, TN
• Providers in Athens, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.