MRS. KRISTEN ROGERS BRADLEY (NPI# 1013539907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013539907 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEN ROGERS BRADLEY |
| Other Name | MISS KRISTEN MICHELLE ROGERS |
| Credential | FNP-BC |
| Practice Address |
3696 Wheeler Rd Augusta GA 30909-6520 |
| Practice Telephone | 7067361830 |
| Practice Fax Number | 7067364521 |
| Mailing Telephone | 7067361830 |
| Mailing Fax Number | 7067364521 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN208219 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780070888 | Kristen Bradley | Counselor | 2819 Nw Kitsap Place, Suite 2b, Silverdale, WA 98383 | 2015-04-15 |
| 1083980460 | Kristen Jill Bradley | Dietitian, Registered | 437 Andre Hl, Northvale, NJ 07647-1300 | 2012-03-29 |
| 1497239891 | Kristen Bradley | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2018-09-20 |
| 1114392545 | Kristen Scott Bradley | Nurse Anesthetist, Certified Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2015-12-10 |
| 1578964417 | Kristen Nicole Bradley | Registered Nurse | 4420 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2014-09-10 |
| 1497987267 | Kristen Marie Bradley | Dietitian, Registered | 334 Samuel Dr, Yuba City, CA 95991-6325 | 2009-08-12 |
| 1093842734 | Kristen Elizabeth Bradley | Speech-Language Pathologist | 1829 E Franklin St, Bldg. # 600, Chapel Hill, NC 27514-5861 | 2007-02-28 |
| Street Address |
3696 WHEELER RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-6520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992703193 | Richard Harris Bromer | Specialist | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2005-07-12 |
| 1255930806 | Nicole Paige Wolbert | Nurse Practitioner | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2020-10-23 |
| 1093234791 | Shannon Lynn Egan | Physician Assistant | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2017-09-13 |
| 1205384880 | Stacey M. Perry | Physician Assistant | 3696 Wheeler Rd, Augusta, GA 30909 | 2016-09-13 |
| 1477996965 | Eugene Mitchell Long IIi | Internal Medicine | 3696 Wheeler Rd, Augusta, GA 30909 | 2013-04-15 |
| 1710182605 | Aaron W Flanders | Internal Medicine | 3696 Wheeler Rd, Augusta, GA 30909 | 2007-06-19 |
| 1912917824 | Augusta Oncology Associates, P.C. | Specialist | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2006-08-09 |
| 1649257890 | Miriam Yvette Atkins | Specialist | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2005-12-29 |
| 1700863438 | John Kennison Hudson | Specialist | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2005-12-23 |
| 1376520148 | David Ronald Squires | Specialist | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1588262372 | Taylor Safford | Nurse Practitioner | 1348 Walton Way Ste 4100, Augusta, GA 30901-5107 | 2020-10-13 |
| 1831719269 | Tanaysa Green | Nurse Practitioner | 1702 Holly Hill Rd, Augusta, GA 30904-5050 | 2020-04-27 |
| 1699395749 | Mary Elizabeth Dalis | Nurse Practitioner | 1025 Redbird Rd, Augusta, GA 30904-3181 | 2020-04-18 |
| 1316585185 | Rebecca Williford | Nurse Practitioner | 1220 George C Wilson Dr, Augusta, GA 30909-4501 | 2019-12-12 |
| 1699322370 | Ashley Staten | Nurse Practitioner | 2739 Huntcliffe Dr, Augusta, GA 30909-0662 | 2019-08-19 |
| 1053978205 | Keneka V Allen | Nurse Practitioner | 6229 Key West Dr, Augusta, GA 30909-6745 | 2019-05-23 |
| 1487210589 | Jason Schunk | Nurse Practitioner | S7645 Morning Crest Dr, Augusta, WI 54722-7579 | 2019-05-14 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1174097190 | Yuri Kang | Nurse Practitioner | Augusta University Medical Center 1120 15th Street, Augusta, GA 30912-0359 | 2019-01-12 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.