Active NPI
Jesse S Breedlove, CRNA
- Certified Registered Nurse Anesthetist
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9305569
- Practice address
- 801 E 6TH St
Panama City, FL 32401-3661 - Phone
- (850) 785-3185
- Fax
- (850) 785-6233
- NPI assigned
- Jan 3, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9305569 | FL | Primary |
Addresses
Primary practice location
801 E 6TH St
Panama City, FL 32401-3661
Mailing address
801 E 6TH St
Panama City, FL 32401-3661
Phone (850) 785-3185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6002 Berryhill Rd
Milton, FL 32570-5062
Phone (850) 626-7762
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9305569 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne Lee MD Plastic Surgery PLLC | Current | Accepting new patients | |
| Ams Anesthetist Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sweet Dreams Nurse Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams Baptist LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sweet Dreams Anesthesiology Nurses of Georgia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Quiescence Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ias Illinois PC | Current | Accepting new patients | |
| Ams of Crestview LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sweet Dreams Nurse Anesthesiology LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Aaoc Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams of Gulf Breeze LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Atlanta Allergy & Otolaryngology Center, LLC | Past | Accepting new patients | |
| Sleep and Sinus Centers ASC, LLC | Past | Accepting new patients |
Locations
1020 E Brandon Blvd
Ste 101
Brandon, FL 33511
Phone (813) 579-3369
151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
1780 N Mills Ave
Orlando, FL 32803
Phone (407) 426-8484
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848
619 Pointe North Blvd
Albany, GA 31721
Phone (229) 883-4707
3243 Glynn Ave
Brunswick, GA 31520
Phone (912) 264-9029
110 Professional Ct
Jesup, GA 31545
Phone (912) 427-6029
771 Old Norcross Rd
Ste 135
Lawrenceville, GA 30046
101 McWilliams Dr
Peachtree Cty, GA 30269
Phone (678) 902-9495
1035 Southcrest Dr
Ste 250
Stockbridge, GA 30281
Phone (770) 996-9945
117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725
615 S Hansell St
Thomasville, GA 31792
Phone (229) 226-2234
3527 N Valdosta Rd
Ste B
Valdosta, GA 31602
Phone (229) 247-2290
4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIHJBA
Organizations & group practices 14
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.
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1770834426
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1093020216
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1588927982
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1376812032
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Lawrenceville, GA
- NPI 1578827069
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1942671805
FL, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1669737409
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Alpharetta, GA
- NPI 1649463365
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Alpharetta, GA
- NPI 1891005989
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Geneva, IL
- NPI 1265118723
-
- Plastic and Reconstructive Surgery Physician
- Brandon, FL
- NPI 1710269097
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milton, FL
- NPI 1528015302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1992042469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 E 6TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013661",
"telephone_number": "850-785-3185",
"fax_number": "850-785-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E 6TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013661",
"telephone_number": "850-785-3185",
"fax_number": "850-785-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEDLOVE",
"first_name": "JESSE",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-03",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9305569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.