LISA CHARISEE BRADLEY (NPI# 1114486743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114486743 |
| Entity Type | Individual |
| Full Name | LISA CHARISEE BRADLEY |
| Credential | REGISTERED NURSE |
| Practice Address |
4135 Holman Ln Saint Louis MO 63134-3925 |
| Practice Telephone | 3144796121 |
| Practice Fax Number | 3144796121 |
| Mailing Telephone | 3144796121 |
| Mailing Fax Number | 3144796121 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | MO | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 431921811 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080386 | Lisa Bradley | Massage Therapist | 1000 Elk Ct, Divide, CO 80814-7744 | 2019-02-24 |
| 1063878114 | Lisa Ann Bradley | Counselor | 189 Charleston Ave, Bremen, GA 30110-7914 | 2016-01-05 |
| 1598107989 | Lisa Deann Bradley | Chiropractor | 400 W 4th St Ste B, Corning, AR 72422-2724 | 2013-07-25 |
| 1487962577 | Lisa Lee Bradley | Social Worker | 39 Taunton Grn, Taunton, MA 02780-3251 | 2010-09-22 |
| 1427106764 | Lisa Laverne Bradley | Physician Assistant | 3831 Stocker St, Los Angeles, CA 90008-5103 | 2007-01-05 |
| 1255981668 | Lisa Bradley | Nurse Practitioner | 500 Parnassus Ave, San Francisco, CA 94143-2203 | 2019-09-17 |
| 1477066645 | Lisa Bradley | Licensed Practical Nurse | 500 Burlington Rd Ste 240, Jackson, OH 45640-9360 | 2017-11-10 |
| 1952853442 | Lisa Marie Bradley | Counselor | 60575 Billadeau Rd, Bend, OR 97702-9338 | 2016-10-31 |
| 1083074231 | Lisa C. Bradley | Counselor | 6832 Phillips Mill Rd, New Hope, PA 18938-9682 | 2016-03-01 |
| 1801225347 | Lisa Bradley | Pharmacist | 1601 Monmouth St, Newport, KY 41071-2634 | 2013-11-05 |
| Street Address |
4135 HOLMAN LN |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63134-3925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912342049 | Infiniti Homecare Consumer Directed Services, LLC | Technician | 4135 Holman Ln, Saint Louis, MO 63134-3925 | 2013-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457873010 | Erica Wilkins | Home Health Aide | 8401 Alder Ave, Berkeley, MO 63134 | 2017-07-14 |
| 1083029540 | Express Scripts Specialty Distribution Services, Inc. | Pharmacy | 4700 North Hanley Road, Suite A, St. Louis, MO 63134 | 2014-06-24 |
| 1083024061 | Avertest, LLC | Clinic/Center | 4709 Laguardia Dr, Suite 100, Saint Louis, MO 63134 | 2014-04-30 |
| 1477765196 | Darren Cartwright | Dentist | 6065 Helen Avenue, St. Louis, MO 63134 | 2007-05-04 |
| 1679629703 | Baligh Ramzi Yehia | Internal Medicine | 4600 Edmundson Rd, Saint Louis, MO 63134 | 2007-01-25 |
| 1316017072 | Courier Healthcare Systems, Inc | Home Health | 4433 Woodson Rd., Suite 103, Woodson Terrace, MO 63134 | 2006-11-09 |
| 1467534826 | Express Scripts Specialty Distribution Services, Inc. | Pharmacy | 8931 Springdale Ave., Suite A, Saint Louis, MO 63134 | 2006-10-19 |
| 1346355385 | Jsh Group LLC | Durable Medical Equipment & Medical Supplies | 4441brown Road, St. Louis, MO 63134 | 2006-08-20 |
| 1235175241 | Select Physical Therapy of St Louis Limited Partnership | Clinic/Center | 8905 Airport Rd, Saint Louis, MO 63134 | 2006-06-20 |
| 1770005365 | Optimum Plus Home Healthcare | Home Health | 8401 Alder Ave, Berkeley, MO 63134-1307 | 2017-07-14 |
| Find all providers in zip 63134 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717339 | Shantell Small | Homemaker | 1355 Taos Dr, Saint Louis, MO 63138-2317 | 2020-07-10 |
| 1942820063 | Loving Hearts Home Care LLC | Homemaker | 1409 Washington Ave Ste 416, Saint Louis, MO 63103-1917 | 2020-04-18 |
| 1760018436 | Nana and Jack's In-home Healthcare,llc | Homemaker | 1409 Washington Ave Ste 419, Saint Louis, MO 63103-1917 | 2020-03-13 |
| 1881246056 | Reliable Home Health Service LLC | Homemaker | 2126 Woodson Rd, Saint Louis, MO 63114-5616 | 2019-07-09 |
| 1891257721 | Erica Ray | Homemaker | 1454 Hogan St, Saint Louis, MO 63106-4733 | 2019-04-01 |
| 1184191330 | Spencer Home Healthcare LLC | Homemaker | 720 Olive St Apt 1907, Saint Louis, MO 63101-2314 | 2018-10-25 |
| 1700393550 | Josephine's In Home Services LLC | Homemaker | 6837 Manchester Ave, Saint Louis, MO 63143-2615 | 2018-01-02 |
| 1902261282 | Yvette Dupree | Homemaker | 9772 Vickie Pl, Saint Louis, MO 63136-1911 | 2015-12-30 |
| 1659677169 | To Lend A Hand In-home Services, Inc. | Homemaker | 4575 Varrelmann Ave, Saint Louis, MO 63116-2415 | 2011-01-31 |
| 1811508310 | Allied Home Healthcare Inc | Homemaker | 6525 Page Ave, Saint Louis, MO 63133-1605 | 2020-08-10 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63134 |
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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.