BRANDY BRADSHAW (NPI# 1174980544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174980544 |
| Entity Type | Individual |
| Full Name | BRANDY BRADSHAW |
| Practice Address |
1800 Community Clinton MO 64735-8804 |
| Practice Telephone | 6608858131 |
| Mailing Telephone | 6608858131 |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2003026467 | MO | Nursing Service Providers |
| Street Address |
1800 COMMUNITY |
| City | CLINTON |
| State | MO |
| Zip Code | 64735-8804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639167687 | Michael David Shoemaker | Family Medicine | 1800 Community, Clinton, MO 64735 | 2005-10-12 |
| 1811598956 | Julie Mackey | Counselor | 1800 Community, Clinton, MO 64735-8804 | 2020-11-05 |
| 1396346839 | Shayla Michelle Pipes | Dental Hygienist | 1800 Community, Clinton, MO 64735-8804 | 2020-11-02 |
| 1164021564 | Sarah Arnold | Social Worker | 1800 Community, Clinton, MO 64735-8804 | 2020-10-19 |
| 1417555624 | Hailey Henke | Dental Hygienist | 1800 Community, Clinton, MO 64735-8804 | 2020-10-12 |
| 1255938734 | Keri Lee Huisman | Licensed Practical Nurse | 1800 Community, Clinton, MO 64735-8804 | 2020-10-07 |
| 1568097434 | Sarah Elizabeth Denny | Dental Hygienist | 1800 Community, Clinton, MO 64735-8804 | 2020-03-11 |
| 1144855768 | Cristy Akers | Licensed Practical Nurse | 1800 Community, Clinton, MO 64735-8804 | 2020-03-04 |
| 1134754773 | Samantha Owings | Licensed Vocational Nurse | 1800 Community, Clinton, MO 64735-8804 | 2020-03-04 |
| 1770144313 | Rayleine Chelsy Metcalf | Social Worker | 1800 Community, Clinton, MO 64735-8804 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
| 1447669924 | James Taylor Thatcher II | Counselor | 1800 Community Drive, Clinton, MO 64735 | 2014-08-08 |
| 1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
| 1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
| 1265614176 | Kristal Lynn Moran | Registered Nurse | 1600 N Second St, Clinton, MO 64735 | 2007-12-03 |
| 1174653406 | Gary Allen Groff | Dentist | 1100 E Ohio St, Clinton, MO 64735 | 2007-03-06 |
| 1306908512 | Andrea Jolynn Bruck | Dentist | 906 E Ohio, Clinton, MO 64735 | 2006-12-14 |
| 1992873889 | Golden Valley Memorial Hospital Home Services | Home Health | 1600 North Second Street, Clinton, MO 64735 | 2006-12-01 |
| 1033205521 | Bradley Mark Townsend | Family Medicine | 1413 South Second Street, Clinton, MO 64735 | 2006-10-04 |
| 1871688473 | Michael Jay Harrison | Chiropractor | 704 E. Ohio, Clinton, MO 64735 | 2006-10-03 |
| Find all providers in zip 64735 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269437 | Cathy Jones | Licensed Practical Nurse | 2047 Dutch Valley Rd, Clinton, TN 37716-5121 | 2020-09-15 |
| 1407406119 | Kimberly Marie Mcmahan | Licensed Practical Nurse | 620 Eagle Bend Rd, Clinton, TN 37716-3825 | 2019-09-14 |
| 1154825420 | Karen Gene Nitzel | Licensed Practical Nurse | 8177 Cleve Mass Rd Lot 30, Clinton, OH 44216-9146 | 2018-03-21 |
| 1053827105 | Cineka Melicia Phillips | Licensed Practical Nurse | 104 Mesa Verda Cv, Clinton, MS 39056-5916 | 2017-12-26 |
| 1548703648 | Monica Morse | Licensed Practical Nurse | 3283 State Route 12b, Clinton, NY 13323-4622 | 2016-11-22 |
| 1629525639 | Thomas Mckinnie | Licensed Practical Nurse | 7017 Sand Cherry Way, Clinton, MD 20735-4265 | 2016-09-07 |
| 1275909533 | Belta Monie | Licensed Practical Nurse | 9013 Goldfield Pl, Clinton, MD 20735-2027 | 2015-08-20 |
| 1891130159 | Mary Lynne Boss | Licensed Practical Nurse | 449 E Comet Rd, Clinton, OH 44216-9425 | 2013-05-01 |
| 1326317645 | Christine Erin Duval | Licensed Practical Nurse | 364 Green St Apt 4, Clinton, MA 01510-3013 | 2011-12-15 |
| 1780952754 | Elizabeth Rhoades | Licensed Practical Nurse | 442 Comet Ln, Clinton, OH 44216-9457 | 2011-12-06 |
| Find all providers in CLINTON | ||||
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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.