AMANDA BRADSHAW (NPI# 1144641168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144641168 |
| Entity Type | Individual |
| Full Name | AMANDA BRADSHAW |
| Credential | LMHC |
| Practice Address |
360 Duncan Dr Providence RI 02906-7003 |
| Practice Telephone | 4014378918 |
| Mailing Telephone | 4014378918 |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MHC00817 | RI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780937300 | Amanda L. Bradshaw | Speech-Language Pathologist | 1730 N Sea Pines, Mesa, AZ 85205-3664 | 2012-10-19 |
| 1447774559 | Amanda Jade Bradshaw | Pediatrics | 1600 20th St S, Birmingham, AL 35205-4998 | 2017-07-31 |
| 1760769186 | Amanda R Bradshaw | Behavioral Analyst | 145 Faunce Corner Rd, Suite K, North Dartmouth, MA 02747-1263 | 2011-11-14 |
| 1336380492 | Amanda M Bradshaw | Physician Assistant | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2009-03-18 |
| Street Address |
360 DUNCAN DR |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-7003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131518 | Keisha Opoku | Registered Nurse | 360 Duncan Dr, Providence, RI 02906-7003 | 2020-10-09 |
| 1467094508 | Tola Fernandes | Registered Nurse | 360 Duncan Dr, Providence, RI 02906-7003 | 2019-10-10 |
| 1699317750 | Christopher Jean Rossi | Registered Nurse | 360 Duncan Dr, Providence, RI 02906-7003 | 2019-10-10 |
| 1902447576 | Margaret Gayle Barrett | Registered Nurse | 360 Duncan Dr, Providence, RI 02906-7003 | 2019-10-03 |
| 1467934729 | Agustina Amaya | Registered Nurse | 360 Duncan Dr, Providence, RI 02906-7003 | 2018-09-04 |
| 1144710617 | Grace Elizabeth Shaw | Registered Nurse | 360 Duncan Dr, Providence, RI 02906-7003 | 2018-05-10 |
| 1396251054 | Kelly Marie Anderson | Registered Nurse | 360 Duncan Dr, Providence, RI 02906-7003 | 2017-12-18 |
| 1417475260 | Jillian Jean Trimble | Registered Nurse | 360 Duncan Dr, Providence, RI 02906-7003 | 2017-08-31 |
| 1932637923 | Meredith Ealise Bourque | Registered Nurse | 360 Duncan Dr, Providence, RI 02906-7003 | 2017-06-02 |
| 1982131884 | Sharro Perron Laurent | Registered Nurse | 360 Duncan Dr, Providence, RI 02906-7003 | 2017-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932738416 | Rhea Bhatia | Counselor | 219 Leah St Unit 2, Providence, RI 02908-3907 | 2020-04-06 |
| 1568098721 | Roisin Mcgettigan | Counselor | 365 Hope St, Providence, RI 02906-1633 | 2020-03-19 |
| 1962049932 | Wholelife Family Wellness Clinic of Providence Pllc | Counselor | 169 N Gateway Dr. Suite 170, Providence, UT 84332 | 2019-12-09 |
| 1679117675 | Abbey Seabury Chrupcala | Counselor | 382 Thayer St, Providence, RI 02906-1558 | 2019-11-01 |
| 1205392891 | Sara De Carvalho | Counselor | 21 Pratt St # 5, Providence, RI 02906-1424 | 2019-02-19 |
| 1376008078 | Rebecca Zub | Counselor | 58 Taft Ave Apt 9, Providence, RI 02906-3473 | 2019-02-06 |
| 1821509944 | Hologram Central | Counselor | 44 Barbara St Unit 1, Providence, RI 02909-5110 | 2017-10-16 |
| 1497273932 | Ashley Jasmine Williams | Counselor | 131 Ledge St, Providence, RI 02904-1532 | 2017-09-05 |
| 1912448481 | Catherine Allard | Counselor | 225 Carpenter St, Providence, RI 02903-3044 | 2017-03-16 |
| 1649711144 | Kerri Peterson Weaver | Counselor | 400 Reservoir Ave Ste Llo, Providence, RI 02907-3595 | 2017-03-16 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on AMANDA BRADSHAW.
| 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.