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

Mrs. Shantelle Nicolle Breeze, AGNP

Individual provider Adult Health Nurse Practitioner · NPI 1124612452

Mrs. Shantelle Nicolle Breeze, AGNP is a Nurse Practitioner in Greensboro, North Carolina. Qualified in 2020, 6 years ago. Practices with Central Carolina Kidney Associates PA, an 8-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

See every abbreviation used in this directory →

Practice location Address checks out

203 Pomona Dr
Greensboro, NC 27407-1619
Phone: (336) 282-0132
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence BREE-0E05L (NC)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 264125 (NC)

Record details

NPI number1124612452
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedFebruary 26, 2021
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Central Carolina Kidney Associates Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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