SHANNON RENEE BRADY-BARDSHER (NPI# 1316211600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316211600 |
| Entity Type | Individual |
| Full Name | SHANNON RENEE BRADY-BARDSHER |
| Credential | ARNP |
| Practice Address |
2220 W Iowa Ave Chickasha OK 73018-2738 |
| Practice Telephone | 4057792834 |
| Mailing Telephone | 4057792834 |
| Enumeration Date | 2012-03-03 |
| Last Update Date | 2014-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
83612 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200452510A | 05 |
| Street Address |
2220 W IOWA AVE |
| City | CHICKASHA |
| State | OK |
| Zip Code | 73018-2738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538169198 | Grady Memorial Hospital | General Acute Care Hospital | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2005-07-26 |
| 1487042073 | William Stewart Jr. | Nurse Anesthetist, Certified Registered | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2015-01-05 |
| 1497007322 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2012-10-02 |
| 1912216052 | Daniel Michael Whitmill | Nurse Anesthetist, Certified Registered | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2010-10-06 |
| 1063749729 | Chickasha Hospitalist Services Pllc | Emergency Medicine | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2009-11-17 |
| 1245498781 | Bahiru Belachew Mekete | Internal Medicine | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2008-05-31 |
| 1114142676 | Joe T. Bledose | Internal Medicine | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2007-04-17 |
| 1194847129 | Cynthia D. Wilcox | Dietitian, Registered | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2007-04-03 |
| 1992854590 | Grady Memorial Hospital | General Acute Care Hospital | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2007-01-10 |
| 1255418596 | Dennis Reed Mcneely | Emergency Medicine | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821528662 | Cancer Centers of Southwest Oklahoma, LLC | Internal Medicine | 210 South Mary Bailey Drive, Chickasha, OK 73018 | 2017-06-14 |
| 1821535915 | Around The Clock Home Care | In Home Supportive Care | 313 W Chickasha Ave, Chickasha, OK 73018 | 2017-01-26 |
| 1639535537 | Teagan Rae Dorsey | Registered Nurse | 304 S 29th Street, Chickasha, OK 73018 | 2016-01-07 |
| 1578949327 | Megan Griffin | Dentist | 720 West Grand Ave, Chickasha, OK 73018 | 2015-08-04 |
| 1174933709 | Mendy Stone | Case Manager/Care Coordinator | 1820 Wets Idaho Ave, Chickasha, OK 73018 | 2014-05-05 |
| 1407286735 | Martha Allison Shadoan | Social Worker | 804 W. Choctaw, Chickasha, OK 73018 | 2013-11-22 |
| 1225313521 | Shanna Michelle Rice | Counselor | 198 East Almar Drive, Chickasha, OK 73018 | 2011-10-18 |
| 1306016175 | Logsdon Chiropractic, Pllc | Clinic/Center | 1807 S. 9th, Chickasha, OK 73018 | 2008-03-07 |
| 1518148337 | Christopher Lee Ludwell | Chiropractor | 419 Fieldcrest, Chickasha, OK 73018 | 2007-11-20 |
| 1902098270 | Barbara Ann Reilley Schmidt | Pediatrics | 2222 West Iowa, Chickasha, OK 73018 | 2007-08-10 |
| Find all providers in zip 73018 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690514 | Kaletha Lynell Hightower | Nurse Practitioner | 702 W Texas Ave, Chickasha, OK 73018-4415 | 2018-12-11 |
| 1285103010 | Heather Michelle Rowell | Nurse Practitioner | 411 W Grand Ave, Chickasha, OK 73018-5862 | 2018-11-21 |
| 1043782634 | Alisa Tarasova | Nurse Practitioner | 304 S 29th St, Chickasha, OK 73018-2501 | 2018-12-20 |
| 1720550676 | Cheryl E Warren | Nurse Practitioner | 2222 W Iowa Ave, Chickasha, OK 73018-2738 | 2018-12-17 |
| 1336617943 | Rita E Mba-etuge | Nurse Practitioner | 304 S 29th St, Chickasha, OK 73018-2501 | 2018-11-13 |
| 1972079853 | Misti Heston | Nurse Practitioner | 2100 W Iowa Ave Ste A, Chickasha, OK 73018-2736 | 2018-10-18 |
| 1306312384 | Martina Miner | Nurse Practitioner | 2100 W Iowa Ave Ste A, Chickasha, OK 73018-2736 | 2018-10-17 |
| 1710453790 | Kristi Diane Keller | Nurse Practitioner | 2100 W Iowa Ave Ste A, Chickasha, OK 73018-2736 | 2018-10-17 |
| 1588148951 | Bryan E Lehman | Nurse Practitioner | 304 S 29th St, Chickasha, OK 73018-2501 | 2018-09-20 |
| 1841774544 | Angela Jeanette Thayer | Nurse Practitioner | 2222 W Iowa Ave, Chickasha, OK 73018-2738 | 2018-09-18 |
| Find all providers in CHICKASHA | ||||
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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.