ELIZABETH BREEDLOVE FAMILY PRACTICE & AESTHETICS PLLC
NPI 1356740054
Nurse Practitioner - Family in Tatum, TX

Active since August 19, 2014CLIA 45D2087595 · Waiver
810 N HILL ST, SUITE 2, TATUM, TX 75691(903) 241-0513 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elizabeth Breedlove Family Practice & Aesthetics Pllc NPPES

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

ELIZABETH BREEDLOVE FAMILY PRACTICE & AESTHETICS PLLC (NPI 1356740054) is a healthcare organization registered as a family in Tatum, Texas and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists Elizabeth Ann Breedlove, Owner/ Nurse Pracitioner, as its authorized official.

NPPES Registry Identity

NPI1356740054
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameELIZABETH BREEDLOVE FAMILY PRACTICE & AESTHETICS PLLC
Location Address810 N HILL ST, SUITE 2Tatum, TX 75691-1740
Mailing AddressPo Box 1129Tatum, TX 75691-1129 · (903) 947-2020 · Fax (903) 352-3665
Organization SubpartNo
Authorized OfficialElizabeth Ann BreedloveOwner/ Nurse Pracitioner · (903) 947-2020
Enumeration DateAugust 19, 2014
Last NPPES UpdateAugust 4, 2026
NPPES CertifiedAugust 4, 2026
✔ NPI 1356740054 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 TX · 691969
810 N HILL ST, Tatum, TX 75691

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Breedlove Family Practice & Aesthetics Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Elizabeth Breedlove Family Practice & Aesthetics PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1982368809
810 N HILL ST
Tatum, TX 75691
(903) 947-2020
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629924253
810 N HILL ST STE 5
Tatum, TX 75691
(903) 947-2273
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1679626097
810 N HILL ST SUITE 2
Tatum, TX 75691
(903) 947-2020
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1982844213
810 N HILL ST SUITE 2
Tatum, TX 75691
(903) 947-2020
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1548935794
10588 FM 227 E
Grapeland, TX 75844
(936) 204-3024
✔ PECOS✔ Accepts Medicare71 mi
Nurse Practitioner
NPI 1770041691
409 WOODRUFF ST
Bradley, AR 71826
(870) 330-6060
✔ PECOS74 mi
Nurse Practitioner
NPI 1992422851
224 HEMPSTEAD 173 W
Hope, AR 71801
(903) 559-5067
✔ PECOS✔ Accepts Medicare106 mi
General Practice
NPI 1578535092
189 FM 3459 STE 400
Onalaska, TX 77360
(936) 649-1200
✔ PECOS✔ Accepts Medicare109 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2087595

Elizabeth Breedlove Family Practice & Aesthetics PLLC · Tatum, TX
Active · expires Nov 30, 2026
CLIA Number45D2087595
Laboratory TypePractitioner Other
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorElizabeth Breedlove
Laboratory Phone(903) 947-2020
Laboratory LocationElizabeth Breedlove Family Practice & Aesthetics PLLC810 N Hill Street, Suite 2, Tatum, TX 75691
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Elizabeth Breedlove Family Practice & Aesthetics PLLC's NPI number?

The NPI number for Elizabeth Breedlove Family Practice & Aesthetics PLLC is 1356740054. It was assigned to this organization in the NPPES registry on August 19, 2014.

Where is Elizabeth Breedlove Family Practice & Aesthetics PLLC located?

Elizabeth Breedlove Family Practice & Aesthetics PLLC is located at 810 N Hill St Suite 2, Tatum, TX 75691. The listed phone number is (903) 241-0513.

What is Elizabeth Breedlove Family Practice & Aesthetics PLLC's specialty?

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

Is Elizabeth Breedlove Family Practice & Aesthetics PLLC enrolled in Medicare?

Yes. Elizabeth Breedlove Family Practice & Aesthetics PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elizabeth Breedlove Family Practice & Aesthetics PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Elizabeth Breedlove Family Practice & Aesthetics PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Family Practice (1) and General Practice (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Elizabeth Breedlove Family Practice & Aesthetics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2087595) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Elizabeth Breedlove Family Practice & Aesthetics PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Elizabeth Breedlove Family Practice & Aesthetics PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Breedlove Family Practice & Aesthetics PLLC was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.