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

Katherine Marie Breezley

Individual provider Gerontology Nurse Practitioner · NPI 1780067033

Katherine Marie Breezley is a Nurse Practitioner in Edina, Minnesota. Graduated from University of Minnesota Medical School in 2015, 11 years ago. Practices with Fairview Clinics, a 806-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
11
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

3400 W 66th St
Edina, MN 55435-2111
Phone: (952) 914-1781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence CNP 3969 (MN)
Registered Nurse Taxonomy 163W00000X · Licence R-203335-0 (MN)

Record details

NPI number1780067033
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 6, 2015
Last updated in NPPESJuly 7, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2015 (11 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Edina