Christy Lynn Breedlove, M.ED., CCC-SLP

Key facts

NPI

1760154876

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

24373381 (CO)

Practice address

2115 Grand Ave
Grand Junction, CO 81501-8007

Phone

(970) 254-4872

NPI assigned

Sep 28, 2021

Sex

Female

Sole proprietor

No

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.

• Mesa County Valley School District #51 Local Education Agency (LEA) · Grand Junction, CO · NPI 1851475628
  NPD

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Education

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 15, 2024.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1760154876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2787 HELENA CT",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815033083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 GRAND AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018007",
            "telephone_number": "970-254-4872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2787 Helena Ct",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815033083",
            "country_code": "US",
            "telephone_number": "970-250-8512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREEDLOVE",
        "first_name": "CHRISTY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "12412071",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "24373381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

• Brandon R Wilcox DDS PLLC
• Pamela Gail Brandstoettner
• Rachel Branson
• John S. Bratteli, MD
• Joe Michael Bray, MA
• Duncan Bremner
• Daniella Brengelmann, MA, SLP
• Katherine Hollis Brennan, MA
• Michael Thomas Brennan
• Taylor Ann Brennan, MS CCC-SLP

All providers in Grand Junction, CO · Speech-Language Pathologist in Colorado