Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LISA KAY BREEDLOVE FNP-APRN-BC
NPI 1093632614
Nurse Practitioner - Family in Jacksonville Beach, FL

Q: What is Lisa Breedlove's NPI number?

The NPI number for Lisa Breedlove is 1093632614. It was assigned to this individual provider in the NPPES registry on July 3, 2026.

Q: What is Lisa Breedlove's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Breedlove was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2026

1198 BEACH BLVD, JACKSONVILLE BEACH, FL 32250(904) 372-9137 Get Directions Write a Review

NPPES record added: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Lisa Kay Breedlove Fnp-aprn-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA KAY BREEDLOVE FNP-APRN-BC (NPI 1093632614) is an individual family provider in Jacksonville Beach, Florida, licensed in Florida (11049232) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1093632614

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA KAY BREEDLOVECredential: FNP-APRN-BC

Location Address1198 BEACH BLVDJacksonville Beach, FL 32250-3431

Mailing Address4390 Heathford CtJacksonville, FL 32224-2243 · (330) 612-1790

Phone(904) 372-9137

Sole ProprietorYes

Enumeration DateJuly 3, 2026

Last NPPES UpdateJuly 16, 2026

NPPES CertifiedJuly 16, 2026

✔ NPI 1093632614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11049232

1198 BEACH BLVD, Jacksonville Beach, FL 32250

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Breedlove's NPI number?

The NPI number for Lisa Breedlove is 1093632614. It was assigned to this individual provider in the NPPES registry on July 3, 2026.

Where is Lisa Breedlove located?

Lisa Breedlove practices at 1198 Beach Blvd, Jacksonville Beach, FL 32250. The listed phone number is (904) 372-9137.

What is Lisa Breedlove's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lisa Breedlove was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.