TYRA CHAY BRADBURY (NPI# 1073871232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073871232 |
| Entity Type | Individual |
| Full Name | TYRA CHAY BRADBURY |
| Credential | RD |
| Practice Address |
165 Ashley Ave Msc 905 Charleston SC 29425-8905 |
| Practice Telephone | 8437923880 |
| Mailing Telephone | 8437923880 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
1014 | SC | Dietary & Nutritional Service Providers |
| Street Address |
165 ASHLEY AVE MSC 905 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881608420 | Laura Marie Nance | Dietitian, Registered | 165 Ashley Ave, Box 250905, Charleston, SC 29425-8905 | 2006-07-28 |
| 1649823626 | Kylie Marie Hopkins | Nurse Practitioner | 165 Ashley Ave, Charleston, SC 29425-8905 | 2019-07-19 |
| 1780244848 | Javier R Ayala | Pediatrics | 165 Ashley Ave, Charleston, SC 29425-8905 | 2019-06-19 |
| 1518526888 | Rachel Black | Pediatrics | 165 Ashley Ave, Charleston, SC 29425-8905 | 2019-06-11 |
| 1093373219 | Brock Adam Karolcik | Pediatrics | 165 Ashley Ave, Charleston, SC 29425-8905 | 2019-06-03 |
| 1194383620 | Mary Morgan Hamilton | Pediatrics | 165 Ashley Ave, Charleston, SC 29425-8905 | 2019-05-30 |
| 1174186472 | Amber Nicole Monroe | Nurse Practitioner | 165 Ashley Ave, Charleston, SC 29425-8905 | 2019-04-22 |
| 1851884134 | Courtney Vaughn | Pediatrics | 165 Ashley Ave, Charleston, SC 29425-8905 | 2018-06-11 |
| 1255824702 | Elyse Marie Keane | Pediatrics | 165 Ashley Ave, Charleston, SC 29425-8905 | 2018-06-10 |
| 1396253035 | Haley Thigpen | Dietitian, Registered | 165 Ashley Ave, Charleston, SC 29425-8905 | 2018-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396253035 | Haley Thigpen | Dietitian, Registered | 165 Ashley Ave, Charleston, SC 29425-8905 | 2018-01-16 |
| 1811340789 | Kelli Miller | Dietitian, Registered | 135 Rutledge Ave, Msc 561, Charleston, SC 29425-8903 | 2016-07-15 |
| 1306201967 | Amber Lyn Johnson | Dietitian, Registered | 169 Ashley Ave, Charleston, SC 29425-8905 | 2015-12-28 |
| 1437587813 | Megan Griffin | Dietitian, Registered | 165 Ashley Ave, Eh 110b, Msc 905, Charleston, SC 29425-8905 | 2013-10-23 |
| 1114190238 | Carolyn Weiglein Finch | Dietitian, Registered | 165 Ashley Ave, Suite Eh 1108, Charleston, SC 29425-8905 | 2008-04-09 |
| 1023281144 | Cecilia Kennedy Mcmillan | Dietitian, Registered | 165 Ashley Ave, Suite Eh1108, Charleston, SC 29425-8905 | 2008-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871537555 | Erin Suzanne Geyer | Dietitian, Registered | Palmetto Health Richand, 3301 Harden Street 5 Medical Park, Coulmbia, SC 29203 | 2006-06-15 |
| 1730707217 | Hannah Kathleen Bieze | Dietitian, Registered | 2250 Mall Dr, North Charleston, SC 29406-6563 | 2020-07-10 |
| 1922414580 | Kimberly Kinnear | Dietitian, Registered | 2000 Hampton St, Columbia, SC 29204-1002 | 2014-07-03 |
| City | CHARLESTON |
| Zip Code | 29425 |
Please comment or provide details below to improve the information on TYRA CHAY BRADBURY.
| 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.