MRS. KELLY BRADFORD VAZQUEZ (NPI# 1215385380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215385380 |
| Entity Type | Individual |
| Full Name | MRS. KELLY BRADFORD VAZQUEZ |
| Credential | C.R.N.P. |
| Practice Address |
1104 Monroe St Sw Huntsville AL 35801-5029 |
| Mailing Address |
Po Box 2705 Huntsville AL 35804-2705 |
| Practice Telephone | 2562655864 |
| Practice Fax Number | 2562655865 |
| Mailing Telephone | 2562655864 |
| Mailing Fax Number | 2562655865 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-145099 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952877706 | Kelly Lillis Vazquez | Nurse Practitioner | 975 Baptist Way, Homestead, FL 33033-7600 | 2018-10-19 |
| Street Address |
1104 MONROE ST SW |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-5029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427154327 | Jerrod Taylor | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2006-09-16 |
| 1417454877 | Alicia Vasquez | Nurse Practitioner | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2018-04-11 |
| 1306346150 | Jessica Burkeen | Nurse Practitioner | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2018-02-19 |
| 1245620236 | Emily Cork | Nurse Practitioner | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2015-01-28 |
| 1447667795 | Avinash Adiga | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2014-07-18 |
| 1588084891 | David Chodos | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2014-04-25 |
| 1407298029 | Muhammad Shafi | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801 | 2013-07-24 |
| 1003256900 | Tarun Kukkadapu | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2013-06-25 |
| 1245678853 | Huntsville Hospital Lung Center | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2013-06-06 |
| 1295084564 | Amogh Gajankush | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801 | 2012-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689133365 | Jamie Denmark | Nurse Practitioner | 420 Lowell Dr Se Ste 204, Huntsville, AL 35801-3763 | 2019-03-13 |
| 1336607605 | Ramsha A Khan | Nurse Practitioner | 420 Lowell Dr Se Ste 301, Huntsville, AL 35801-3762 | 2019-03-06 |
| 1275034845 | Norman Edward Damron | Nurse Practitioner | 1 Hospital Dr Sw Ste 100, Huntsville, AL 35801-3495 | 2018-02-28 |
| 1881192797 | Chelsey Lauren Karr | Nurse Practitioner | 810 Franklin St Se Ste A, Huntsville, AL 35801-4310 | 2018-01-25 |
| 1811423825 | Abigail Langley Mackay | Nurse Practitioner | 101 Sivley Rd Sw # 300, Huntsville, AL 35801-4421 | 2017-05-11 |
| 1679934632 | Johnna Grimes | Nurse Practitioner | 101 Sively Rd., Huntsville, AL 35801 | 2016-03-17 |
| 1952718363 | Anna Lauren Brown | Nurse Practitioner | 4013 Devon St Se, Huntsville, AL 35802-1017 | 2014-07-17 |
| 1427462126 | Laura Noblitt | Nurse Practitioner | 201 Governors Swdr 1, Huntsville, AL 35801-5171 | 2014-06-20 |
| 1447677505 | Harley Chadwick Bailey | Nurse Practitioner | 2350 Whitesburg Dr Sw, Huntsville, AL 35801-3818 | 2014-03-26 |
| 1568896157 | Shahla Poursaied | Nurse Practitioner | 1718 Alm Dr Ne, Huntsville, AL 35811-2148 | 2013-08-30 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on MRS. KELLY BRADFORD VAZQUEZ.
| 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.