Active NPI
Holly Kai Breeden, MD
- Pediatric Gastroenterology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- V2443
- Practice address
- 9835 N Lake Creek Pkwy
Austin, TX 78717-6210 - Phone
- (737) 229-2000
- NPI assigned
- May 2, 2018
- 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 |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | V2443 | TX | Primary |
Addresses
Primary practice location
9835 N Lake Creek Pkwy
Austin, TX 78717-6210
Mailing address
9835 N Lake Creek Pkwy
Austin, TX 78717-6210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V2443 | TX | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital | Current | Accepting new patients | |
| Texas Children'S Physician Group | Pediatrics | Current | Accepting new patients |
| Children'S Hospital | Pediatrics | Current | Accepting new patients |
| Texas Children'S Hospital | Past | Accepting new patients |
Locations
141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337
4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822
3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840
6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000
Interoperability endpoints
- hbreeden538395@prddirect.texaschildrens.org
Organizations & group practices 4
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.
-
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- Houston, TX
- NPI 1861675506
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Orleans, LA
- NPI 1568597649
-
- Children's Hospital
- Austin, TX
- NPI 1194507947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1669961918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9835 N LAKE CREEK PKWY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787176210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9835 N LAKE CREEK PKWY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787176210",
"telephone_number": "737-229-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEDEN",
"first_name": "HOLLY",
"middle_name": "KAI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "TX",
"license": "V2443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.