Active NPI
Susan R Breeden, FNP-C
- Family Nurse Practitioner
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18352
- Practice address
- 1905 American Way
Kingsport, TN 37660 - Phone
- (423) 230-8200
- NPI assigned
- Feb 10, 2014
- Last updated
- Mar 6, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18352 | TN | Primary |
| Family Nurse Practitioner | 363LF0000X | 0024191647 | VA |
Addresses
Primary practice location
1905 American Way
Kingsport, TN 37660
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111
Other practice location 1
101 Med Tech Pkwy Ste 100
Johnson City, TN 37604
Phone (423) 794-1800
Other practice location 2
16000 Johnston Memorial Dr Ste 213
Abingdon, VA 24211-0001
Phone (276) 258-2600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q005476 | Medicaid | TN | |
| 6010348 | Other | TN | BCBST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Blue Ridge Medical Management Corporation
Practice addresses (Care Compare)
16000 Johnston Mem Dr
Suite 213
Abingdon, VA 24211-7659
Phone (276) 258-2600
1905 American Way
Kingsport, TN 37660-5882
Phone (423) 578-8451
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024191647 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Franklin Healthcare Associates PLLC | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corp | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Abingdon Physician Partners | Past | Accepting new patients | |
| Takoma Regional Hospital Dba Takoma Outpatient Behavioral Services | Past | Accepting new patients | |
| State of Franklin Healthcare Associates PLLC | Past | Accepting new patients |
Locations
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
1744 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 636-8891
101 Med Tech Pkwy
Ste 100
Johnson City, TN 37604
Phone (423) 431-7626
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819
1905 American Way
Kingsport, TN 37660
Phone (423) 230-8160
16000 Johnston Memorial Dr
Ste 213
Abingdon, VA 24211
Phone (276) 258-2600
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
Interoperability endpoints
- https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
Organizations & group practices 9
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.
-
dba First Assist Urgent Care
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1063459410
-
dba Ballad Health Medical Associates
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
-
- Family Medicine Physician
- Kingsport, TN
- NPI 1588326839
-
dba Ballad Health Medical Associates
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
dba Ballad Health Medical Associates
- Internal Medicine Physician
- Abingdon, VA
- NPI 1699078808
-
- Clinical Medical Laboratory
- Johnson City, TN
- NPI 1841846136
-
dba Takoma Outpatient Behavioral Services
- Clinical Social Worker
- Greeneville, TN
- NPI 1598986382
-
- Internal Medicine Physician
- Abingdon, VA
- NPI 1306944350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1821412925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-952-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 AMERICAN WAY",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37660",
"telephone_number": "423-230-8200"
}
],
"practiceLocations": [
{
"address_1": "101 Med Tech Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "37604",
"country_code": "US",
"telephone_number": "423-794-1800",
"fax_number": "423-794-1801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16000 Johnston Memorial Dr Ste 213",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242110001",
"country_code": "US",
"telephone_number": "276-258-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREEDEN",
"first_name": "SUSAN",
"middle_name": "R",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-10",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "18352",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024191647",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q005476",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "6010348",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.