BRADLEY RICHARDSON (NPI# 1336110865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336110865 |
| Entity Type | Individual |
| Full Name | BRADLEY RICHARDSON |
| Credential | CRNA |
| Practice Address |
735 Courtland Ave Clarksville TN 37043-5657 |
| Practice Telephone | 7192311234 |
| Mailing Telephone | 7192311234 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2019-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 11004008 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 55704 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124503560 | Bradley Richardson | Student in an Organized Health Care Education/Training Program | 1327 Shawnee Rd, Indianapolis, IN 46260-4076 | 2018-10-02 |
| 1093086613 | Bradley Richardson | Pharmacist | 954 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2012-01-13 |
| 1144373945 | Bradley Lane Richardson | Chiropractor | 54 Garden Ctr, Broomfield, CO 80020-1730 | 2007-01-18 |
| Street Address |
735 COURTLAND AVE |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-5657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346605367 | Elizabeth Upton | Nurse Anesthetist, Certified Registered | 2806 Pam Dr, Clarksville, TN 37043-6238 | 2015-12-17 |
| 1639109093 | Lois J Bernard | Nurse Anesthetist, Certified Registered | 1734 Memorial Dr, Clarksville, TN 37043-4550 | 2006-07-03 |
| 1609818798 | Deanna Williams | Nurse Anesthetist, Certified Registered | 1990 Cane Brake Rd, Clarksville, TN 37040-6015 | 2006-06-12 |
| 1942858394 | Warfield Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 280 Warfield Blvd, Clarksville, TN 37043-1828 | 2019-08-29 |
| 1174937320 | Daisy Tambe | Nurse Anesthetist, Certified Registered | 980 Professional Park Dr, Ste C, Clarksville, TN 37040-5251 | 2014-06-16 |
| 1841569316 | Kristina E Conroy | Nurse Anesthetist, Certified Registered | 1817a Madison St, Ste 1, Clarksville, TN 37043-2930 | 2011-12-29 |
| 1033412622 | H Danielle Adams | Nurse Anesthetist, Certified Registered | 1817a Madison St, Ste 1, Clarksville, TN 37043-2930 | 2010-12-21 |
| 1588967103 | Jana Geeslin | Nurse Anesthetist, Certified Registered | 1817a Madison St, Ste 1, Clarksville, TN 37043-2930 | 2010-12-21 |
| 1275859787 | Clarksville Anesthesia LLC | Nurse Anesthetist, Certified Registered | 132 Hillcrest Dr, Clarksville, TN 37043-5000 | 2010-04-09 |
| 1821329640 | Robert Lanham | Nurse Anesthetist, Certified Registered | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2010-01-18 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
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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.