ABIGAIL JANE BRADLEY (NPI# 1366473134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366473134 |
Entity Type | Individual |
Full Name | ABIGAIL JANE BRADLEY |
Credential | REGISTERED NURSE |
Practice Address |
Mile 4.2 Talkeetna Spur Rd Talkeetna AK 99676 |
Mailing Address |
Po Box 984 Talkeetna AK 99676-0984 |
Practice Telephone | 9077332273 |
Mailing Telephone | 9077338052 |
Enumeration Date | 2006-07-06 |
Last Update Date | 2010-02-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
23038 | AK | Nursing Service Providers |
N | 171M00000X | Case Manager/Care Coordinator | CM7787 | AK | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | CM7787 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285933085 | Abigail Jean Bradley | Developmental Therapist | 87 Bridlepath Drive, Lindenhurst, IL 60046 | 2011-03-18 |
Street Address |
MILE 4.2 TALKEETNA SPUR RD |
City | TALKEETNA |
State | AK |
Zip Code | 99676 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013976141 | David Michels | Licensed Practical Nurse | Mile 4.2 Talkeetna Spur Rd, Talkeetna, AK 99676 | 2006-03-18 |
1780643700 | Lauren Champagne | Social Worker | Mile 4.2 Talkeetna Spur Rd, Talkeetna, AK 99676 | 2006-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053935957 | Kirsten Mae Strolle | Social Worker | 34300 S. Talkeetna Spur, Talkeetna, AK 99676 | 2020-06-05 |
1215559711 | Bronson Brito | Registered Nurse | Public Health Center 7-115 Main St E, Dillingham, AK 99676 | 2020-05-07 |
1255867263 | Montana Creek Assisted Living Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19205 E Future Rd, Talkeetna, AK 99676 | 2017-05-11 |
1568902583 | Sunshine Community Health Center, Inc | Clinic/Center | 42728 S Parks Highway, Talkeetna, AK 99676 | 2017-02-24 |
1467991455 | Sunshine Community Health Center, Inc | Clinic/Center | 13930 E Timberwolf Loop, Talkeetna, AK 99676 | 2017-02-23 |
1831646470 | Sarah L Blanning | Social Worker | 34300 S Talkeetna Spur Road, Talkeetna, AK 99676 | 2016-09-01 |
1063797827 | George Baryon Hightower | General Practice | Hc 89 34300 S Talkeetna Spur Road, Talkeetna, AK 99676 | 2011-10-12 |
1558676262 | Sharla Rose | Massage Therapist | 14189 Woodpecker Street, Talkeetna, AK 99676 | 2010-08-18 |
1295985281 | Mark G Moren | Psychologist | 23282 S. Talkeetna Spur Road, Talkeetna, AK 99676 | 2008-09-25 |
1427242072 | Theresa Arlene Saxton | Licensed Practical Nurse | 34300 S. Talkeetna Spur Rd, C/o Sunshine Community Health Center, Talkeetna, AK 99676 | 2007-08-28 |
Find all providers in zip 99676 |
Taxonomy Code | 163WM0705X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Medical-Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306136924 | Vanessa Nicole Vondra | Registered Nurse | 3515 Redstone Rd, North Pole, AK 99705-6226 | 2011-04-15 |
1093056848 | Joenathan Servito | Registered Nurse | 222 Tongass Dr, Mount Edgecumbe Hospital, Sitka, AK 99835-9416 | 2013-03-04 |
1225269426 | Jennifer Lynn Patrick | Registered Nurse | 222 Tongass Dr, Sitka, AK 99835-9416 | 2009-08-05 |
1093944969 | Valerie Nelson | Registered Nurse | 222 Tongass Dr, Sitka, AK 99835-9416 | 2009-07-13 |
1649431487 | Kim L Starble | Registered Nurse | 222 Tongass Dr, Sitka, AK 99835-9416 | 2008-06-24 |
1053527366 | Nadia S. Jones | Registered Nurse | 709 W 9th St, Juneau, AK 99801-1807 | 2007-05-15 |
1649495326 | Tamara Sue Fitzgerald | Registered Nurse | 1296 Agvik St, Barrow, AK 99723 | 2007-04-16 |
1982684429 | Margaret Ann Mchugh | Registered Nurse | 1060 Gaffney Rd, Bassett Army Community Hospital, Ft Wainwright, AK 99703-5001 | 2006-01-19 |
Please comment or provide details below to improve the information on ABIGAIL JANE BRADLEY.
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.