HEATHER LEE BRADLEY (NPI# 1093822876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093822876 |
| Entity Type | Individual |
| Full Name | HEATHER LEE BRADLEY |
| Credential | PHD |
| Practice Address |
1408 N Piedmont Way Tallahassee FL 32308-7974 |
| Practice Telephone | 8506926326 |
| Practice Fax Number | 8506926976 |
| Mailing Telephone | 8506926326 |
| Mailing Fax Number | 8506926976 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2013-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PY6826 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | COMMERCIAL INSURANCE | 591917016 | 01 |
| FL | BLUE CROSS PROVIDER NUMBE | 73127 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962957266 | Heather Lynn Bradley | Nurse Practitioner | 2192 Garden Springs Dr, Lexington, KY 40504-3454 | 2016-08-17 |
| 1578813739 | Heather Ann Bradley | Occupational Therapist | 312 North Washington Avenue, Scranton, PA 18503 | 2012-09-14 |
| 1538286380 | Heather R Bradley | Speech-Language Pathologist | 7110 Jordan Dr, Rapid City, SD 57702 | 2007-03-26 |
| 1316546625 | Heather Bradley | Pharmacist | 1000 Oakleaf Way, Altoona, WI 54720-2246 | 2020-10-19 |
| 1891158390 | Heather Lynn Bradley | Social Worker | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2016-04-01 |
| 1366512360 | Heather Anne Bradley | Psychologist | 1947 Divisadero St, Suite 1, San Francisco, CA 94115-2532 | 2006-11-08 |
| Street Address |
1408 N PIEDMONT WAY |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-7974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265863765 | Conquest Clinics LLC | Clinic/Center | 1408 N Piedmont Way, Tallahassee, FL 32308-7974 | 2013-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110460 | Thoughtwise LLC | Clinical Neuropsychologist | 2840 Remington Green Cir Ste 3, Tallahassee, FL 32308-1518 | 2020-06-29 |
| 1528689320 | Allison Jane Moltisanti | Clinical Neuropsychologist | 1401 Centerville Rd Ste 504, Tallahassee, FL 32308-4640 | 2020-05-03 |
| 1780025635 | Tallahassee Memorial Healthcare Inc | Clinical Neuropsychologist | 1401 Centerville Road, Suite 504, Tallahassee, FL 32308 | 2013-07-08 |
| 1407198229 | Daniel Turpin | Clinical Neuropsychologist | 1401 Centerville Rd, #504, Tallahassee, FL 32308-4647 | 2013-03-19 |
| 1609112630 | Lawanda Ford-johnson | Clinical Neuropsychologist | 1201 Hays St, Tallahassee, FL 32301-2699 | 2012-12-19 |
| 1700997137 | Larry Curtis Kubiak | Clinical Neuropsychologist | 1616 Physicians Dr, Tallahassee, FL 32308-4619 | 2006-08-31 |
| 1841218443 | Scott S Porter | Clinical Neuropsychologist | 3334 Capital Medical Blvd Ste 400, Tallahassee, FL 32308-4470 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512831 | Joshua Rooks, Phd, LLC | Clinical Neuropsychologist | 7328 Jacaranda Ln, Miami Lakes, FL 33014-2670 | 2020-09-09 |
| 1457978991 | Renew Psychiatric Care, LLC | Clinical Neuropsychologist | 3170 N Federal Hwy Ste 206b, Lighthouse Point, FL 33064-6720 | 2020-07-01 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1124667795 | Jennifer Ann Barton | Clinical Neuropsychologist | 3411 Day Ave, Miami, FL 33133-5030 | 2019-12-31 |
| 1952947434 | Dagmar E Nunez | Clinical Neuropsychologist | 1351 Seagrape Cir, Weston, FL 33326-2726 | 2019-11-20 |
| 1821632779 | Joshua Daniel Rooks | Clinical Neuropsychologist | 6520 Miami Lakeway S, Miami Lakes, FL 33014-2747 | 2019-11-04 |
| 1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
| 1528627882 | Anchor Multispecialty Group | Clinical Neuropsychologist | 850 S Palafox St Unit 103, Pensacola, FL 32502-5983 | 2019-06-11 |
| 1639736473 | Aldrich Chan | Clinical Neuropsychologist | 2601 Sw 37th Ave Ste 703, Coral Gables, FL 33133-2750 | 2019-05-28 |
| 1629532353 | Veronica A Thornton | Clinical Neuropsychologist | 1573 W Fairbanks Ave Ste 220, Winter Park, FL 32789-4679 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
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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.