Active NPI
Jill E Breeze, MD
- Pediatrics Physician
- Sherman, TX
National Provider Identifier
1700812914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L6804
- Practice address
- 300 N Highland Ave Ste 550
Sherman, TX 75092-7390 - Phone
- (903) 957-7429
- Fax
- (903) 957-7424
- NPI assigned
- Jun 23, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L6804 | TX | Primary |
Addresses
Primary practice location
300 N Highland Ave Ste 550
Sherman, TX 75092-7390
Mailing address
300 N Highland Ave Ste 550
Sherman, TX 75092-7390
Phone (903) 957-7429
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161041202 | Medicaid | TX | |
| 161041204 | Medicaid | TX | |
| 161041203 | Medicaid | TX | |
| 161041201 | Medicaid | TX |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6804 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherman Grayson Hospital LLC | Current | Accepting new patients |
Interoperability endpoints
- jillbreeze@wnjrmc.allscriptsdirect.net
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.
-
- General Acute Care Hospital
- Sherman, TX
- NPI 1013957836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1700812914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N HIGHLAND AVE STE 550",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750927390",
"telephone_number": "903-957-7429",
"fax_number": "903-957-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N HIGHLAND AVE STE 550",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750927390",
"telephone_number": "903-957-7429",
"fax_number": "903-957-7424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEZE",
"first_name": "JILL",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L6804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161041202",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161041204",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161041203",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161041201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.