Andrea N Breedlove
Driver • Desoto, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Andrea Breedlove has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Andrea Breedlove was a registered Driver practicing in Desoto, TX. Throughout an active medical career spanning 5 years, Andrea Breedlove provided care at the practice location at 801 S POLK ST APT 221 until profile deactivation on 2025-02-06.
Practice Location & Contact Primary Location
801 S Polk St Apt 221
Desoto, TX 751157574
Specialty Benchmarks & Practice Insights
Comparative analytics for Driver in Desoto, TX
Practicing in Desoto, TX (492 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 172A00000X
A person employed to operate a motor vehicle as a carrier of persons or property.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 06, 2025
NPI status registered as active in NPPES database
Registered at 801 S POLK ST APT 221, DESOTO, TX 751157574 (Tel: 2143167897)
Registered at 801 S POLK ST APT 221, DESOTO, TX 751157574 (Tel: 2143167897)
Recorded as ANDREA BREEDLOVE
Driver
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
801 S Polk St Apt 221
Desoto, TX 751157574
Phone: 2143167897
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