Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susan R Breeden, FNP-C

Individual provider Family Nurse Practitioner · NPI 1821412925

Susan R Breeden, FNP-C is a Nurse Practitioner in Kingsport, Tennessee. Qualified in 2013, 13 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Tennessee and Virginia.

Years since qualifying
13
Licensed in
TN, VA
In the registry since
2014
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1905 American Way
Kingsport, TN 37660
Phone: (423) 230-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 101 Med Tech Pkwy Ste 100, Johnson City, TN 37604 — (423) 794-1800
  • 16000 Johnston Memorial Dr Ste 213, Abingdon, VA 24211-0001 — (276) 258-2600

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 18352 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024191647 (VA)

Record details

NPI number1821412925
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 10, 2014
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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