DR. KRISTIN M BRADLEY (NPI# 1417573049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417573049 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN M BRADLEY |
| Credential | DMD |
| Practice Address |
70 N Main St White River Junction VT 05001-7061 |
| Mailing Address |
8 Vose Hill Rd Maynard MA 01754-2160 |
| Practice Telephone | 9787932835 |
| Mailing Telephone | 9787932835 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
016.0133982 | VT | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619160454 | Kristin Carolyn Bradley | Nurse Practitioner | 2555 W Midway Blvd, Broomfield, CO 80020-1632 | 2007-08-24 |
| 1811511744 | Kristin Marie Bradley | Nurse Practitioner | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2020-06-06 |
| 1790329308 | Kristin Bradley | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2019-11-06 |
| 1407225691 | Kristin Bradley | Pharmacist | 2215 Fuller Rd, Pharmacy Service (119), Ann Arbor, MI 48105-2303 | 2015-09-18 |
| 1144456906 | Kristin Meredith Bradley | Social Worker | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2009-06-08 |
| 1669643060 | Kristin R Bradley | Nurse Practitioner | 2215 44th St Sw, Wyoming, MI 49519-6439 | 2008-03-13 |
| 1285831966 | Kristin Neely Bradley | Occupational Therapist | 716 Sipes St, Kings Mountain, NC 28086-2716 | 2007-06-27 |
| 1114132974 | Kristin Nicole Bradley | Physical Therapy Assistant | 6400 N Santa Fe Ave, Ste. B, Oklahoma City, OK 73116-9126 | 2007-05-14 |
| 1295798718 | Kristin Bradley | Radiology | 600 Highland Ave, Madison, WI 53792 | 2006-04-07 |
| Street Address |
70 N MAIN ST |
| City | WHITE RIVER JUNCTION |
| State | VT |
| Zip Code | 05001-7061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558639039 | Donald Lacey | General Practice | 70 N Main St, White River Junction, VT 05001-7061 | 2011-12-12 |
| 1720365125 | Good Neighbor Health Clinic | Clinic/Center | 70 N Main St, White River Junction, VT 05001-7061 | 2011-11-14 |
| 1114034238 | Mary Elizabeth Young | Nurse Practitioner | 70 N Main St, White River Junction, VT 05001-7061 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071674 | Angela Norton | Dietitian, Registered | White River Junction Va, 163 Veterans Drive, White River Junction, VT 05001 | 2020-01-02 |
| 1295221687 | Arielle Courtney Strickland | Behavioral Analyst | 91 Farmvu Dr, White River Junction, VT 05001 | 2018-07-09 |
| 1639544075 | Maureen D Bogosian | Counselor | 211 North Main St, White River, VT 05001 | 2015-12-10 |
| 1104254515 | Peter David Tenenbaum | Social Worker | 67 Raymond Circle, White River Junction, VT 05001 | 2013-10-22 |
| 1124311493 | Amber J Leavitt | Counselor | 226 Holiday Dr Ste 21, White River Junction, VT 05001 | 2011-05-19 |
| 1083820963 | Eileen Frances Lanza | Counselor | 3 Palmer Court, White River Junction, VT 05001 | 2007-05-15 |
| 1841337912 | Carol B. Collier | Counselor | 5 Palmer Court, White River Junction, VT 05001 | 2007-01-30 |
| 1174682041 | Mark G Koch | Marriage & Family Therapist | 1011 N. Main St. #21, White River Junction, VT 05001 | 2006-12-07 |
| 1518032564 | White River Family Practice PC | Family Medicine | 331 Olcott Drive, Suite U3, White River Jct, VT 05001 | 2006-11-22 |
| 1396818100 | Richard Sandford Zubarik | Internal Medicine | Smith 212-fletcher Allen Health Care, Colchester Avenue, Burlington, VT 05001 | 2006-11-17 |
| Find all providers in zip 05001 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063772523 | Tara Lowell Symancyk | Dentist | 1049 N Hartland Rd, White River Junction, VT 05001-9704 | 2012-05-17 |
| 1457684979 | Mari N. Berry | Dentist | 144 Palmer Ct, Suite 1a, White River Junction, VT 05001-9876 | 2009-09-16 |
| 1184758369 | John Holbach | Dentist | 70 North Main Street, White River Junction, VT 05001-4203 | 2007-03-16 |
| 1174533327 | Schramm and Symancyk, Pllc | Dentist | 1049 North Hartland Road, White River Junction, VT 05001 | 2006-08-09 |
| 1477679280 | Richard G Schramm | Dentist | 1049 North Hartland Road, White River Junction, VT 05001 | 2007-03-22 |
| 1881710754 | Mark M. Klampert | Dentist | 1049 North Hartland Road, White River Junction, VT 05001 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757121 | Brattleboro Dental Care LLC | Dentist | 80 Flat St Ste 101, Brattleboro, VT 05301-3258 | 2020-07-08 |
| 1487271094 | Patrick Mclaughlin | Dentist | 26 Quail Hollow Dr, Milton, VT 05468-3578 | 2020-06-30 |
| 1427673243 | Jenna Rogge | Dentist | 1212 Putney Rd, Brattleboro, VT 05301-5102 | 2020-06-09 |
| 1497370266 | Jin Sun Thomas | Dentist | 62 Merchants Row Ste 104, Williston, VT 05495-4476 | 2020-06-08 |
| 1518593896 | Archer Dental Plc | Dentist | 303 Us Route 5 South, Norwich, VT 05055 | 2020-03-18 |
| 1972161958 | Sara Davis | Dentist | 65 Northgate Ave #11, Morrisville, VT 05661 | 2019-06-04 |
| 1285292268 | Robert A Davis | Dentist | 248 S Main St, Barre, Vt 05641, Barre, VT 05641 | 2019-06-04 |
| 1629540885 | Simone Vieira De Moraes De Luna | Dentist | 856 Us Route 302 Unit A, Barre, VT 05641-2301 | 2018-12-27 |
| 1093200495 | Kate Morey | Dentist | 856 Us 302 Unit A, Barre, VT 05641-2301 | 2018-06-27 |
| 1265949903 | Jodeci Malixi | Dentist | 494 Highland Ave #1, Newport, VT 05855 | 2018-01-03 |
| Find all providers with the same taxonomy | ||||
| City | WHITE RIVER JUNCTION |
| Zip Code | 05001 |
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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.