Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breeanna Knowlton

Individual provider Pediatric Nurse Practitioner · NPI 1073487005

Breeanna Knowlton is a Nurse Practitioner in Dallas, Texas. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025

Practice location Address checks out

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone: (214) 590-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 1022998 (TX)

Record details

NPI number1073487005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 2, 2025
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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