Amanda Breeden
Individual provider Active NPI Other Technician · Theodore, AL
NPI 1912985474 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1912985474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 6651 David Dr S
Theodore, AL 36582-6021 - Phone
- (251) 441-6725
- Fax
- (251) 441-6415
- NPI assigned
- Jan 5, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
6651 David Dr S
Theodore, AL 36582-6021
Mailing address
6651 David Dr S
Theodore, AL 36582-6021
Phone (251) 441-6725
Other providers in Theodore, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.