LYDIA DANIELLE BREEDLOVE
NPI 1194242545
Student in an Organized Health Care Education/Training Program in Houston, TX

Active since August 26, 2017
12310 RINCON DRIVE, HOUSTON, TX 77077(832) 377-9378 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 26, 2017 (2 updates tracked since 2017).

About Lydia Danielle Breedlove NPPES

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

LYDIA DANIELLE BREEDLOVE (NPI 1194242545) is an individual student in an organized health care education/training program in Houston, Texas, licensed in Texas (36442954) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1194242545
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLYDIA DANIELLE BREEDLOVE
Location Address12310 RINCON DRIVEHouston, TX 77077
Mailing Address12310 Rincon DrHouston, TX 77077-4828 · (832) 377-9378
Sole ProprietorYes
Enumeration DateAugust 26, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1194242545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
License Licensed in TX · 36442954
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 36442954 (TX)
12310 RINCON DRIVE, Houston, TX 77077

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 Lydia Breedlove's NPI number?

The NPI number for Lydia Breedlove is 1194242545. It was assigned to this individual provider in the NPPES registry on August 26, 2017.

Where is Lydia Breedlove located?

Lydia Breedlove practices at 12310 Rincon Drive, Houston, TX 77077. The listed phone number is (832) 377-9378.

What is Lydia Breedlove's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lydia Breedlove was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.