1. Home
  2. Directory
  3. Mississippi
  4. Tupelo
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

MIMI CLEVELAND BREEDLOVE CRNA
NPI 1417974908
Nurse Anesthetist, Certified Registered in Tupelo, MS

Active since July 17, 2006
830 S GLOSTER, TUPELO, MS 38801(662) 377-4394(662) 377-7045 Get Directions Write a Review

NPPES record last updated: July 24, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mimi Cleveland Breedlove Crna NPPES

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

MIMI CLEVELAND BREEDLOVE CRNA (NPI 1417974908) is an individual nurse anesthetist, certified registered in Tupelo, Mississippi, licensed in Mississippi (R853077) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1417974908
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMIMI CLEVELAND BREEDLOVECredential: CRNA
Location Address830 S GLOSTERTupelo, MS 38801
Mailing AddressPo Box 3294Tupelo, MS 38803-3294 · (662) 377-4394 · Fax (662) 377-7045
Phone(662) 377-4394
Fax(662) 377-7045
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 24, 2009
✔ NPI 1417974908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MS · R853077
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
830 S GLOSTER, Tupelo, MS 38801
Open in Google Maps ↗

Other Names 1

Former Name (1)Mimi C Cleveland Breedlove Crna

Other Identifiers 4

Medicare ID-Type Unspecified430002137MS
Other009936796AL · Medicaid
Other430002113MS · Medicare
Medicare UPINQ64064

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. COURTNEY STRINGER
Nurse Anesthetist, Certified Registered
830 S GLOSTER
TUPELO, MS 38801
Lee County (662) 377-4394
SANDRA L WATERS CRNA
Nurse Anesthetist, Certified Registered
830 S GLOSTER
TUPELO, MS 38801
Lee County (662) 377-4394

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 Mimi Breedlove's NPI number?

The NPI number for Mimi Breedlove is 1417974908. It was assigned to this individual provider in the NPPES registry on July 17, 2006. The provider is also known as Mimi C Cleveland Breedlove Crna.

Where is Mimi Breedlove located?

Mimi Breedlove practices at 830 S Gloster, Tupelo, MS 38801. The listed phone number is (662) 377-4394.

What is Mimi Breedlove's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Mimi Breedlove was last updated on July 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.