JENNIFER BLASE BRADLEY (NPI# 1427145317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427145317 |
| Entity Type | Individual |
| Full Name | JENNIFER BLASE BRADLEY |
| Credential | PA-C |
| Practice Address |
13430 N Meridian St Suite 275 Carmel IN 46032-1405 |
| Practice Telephone | 3175828810 |
| Practice Fax Number | 3175828863 |
| Mailing Telephone | 3175828810 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10001216A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085-002534 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043781792 | Jennifer Bradley | Specialist | 800 Rose Street Whitney-hendrickson Bldg 3rd Fl, Lexington, KY 40536-0093 | 2018-12-06 |
| 1386008647 | Jennifer Bradley | Case Manager/Care Coordinator | 1105 Hawthorne Dr, Midwest City, OK 73110-7614 | 2016-04-12 |
| 1194101402 | Jennifer Bradley | Physical Therapist | 3200 Labore Rd Ste 102, Vadnais Heights, MN 55110-5189 | 2015-08-10 |
| 1114303914 | Jennifer Bradley | Lactation Consultant, Non-RN | 136 Corbin Cir, Cabot, AR 72023-7733 | 2015-08-04 |
| 1487093803 | Jennifer Lynn Bradley | Optometrist | 338 S Washington Ave., Titusville, FL 32796-3548 | 2013-06-19 |
| 1154769123 | Jennifer Marie Bradley | Speech-Language Pathologist | 214 Umbrella Pl, Jupiter, FL 33458-1625 | 2013-06-12 |
| 1912257395 | Jennifer Renee Bradley | Counselor | 16700 Highway 280 Ste A222, Chelsea, AL 35043-8325 | 2012-09-13 |
| 1225312119 | Jennifer Michelle Bradley | Nurse Practitioner | Vanderbilt Eskind Diabetes Clinic 8210 Mce, South Tower, 1215 21st Ave South, Nashville, TN 37232-8148 | 2011-10-10 |
| 1326250184 | Jennifer Elizabeth Bradley | Psychologist | 205 N College Ave Ste 514, Bloomington, IN 47404-3952 | 2007-05-04 |
| 1740802073 | Jennifer Bradley | Nurse Practitioner | 1716 Hartford St., Lafayette, IN 47904-2138 | 2020-05-08 |
| Street Address |
13430 N MERIDIAN ST SUITE 275 |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659835 | John M Huse | Surgery | 13430 N Meridian St, Suite 275, Carmel, IN 46032-1405 | 2005-06-14 |
| 1366753246 | Kami C Shaw | Physician Assistant | 13430 N Meridian St, Suite 275, Carmel, IN 46032-1405 | 2010-06-25 |
| 1386886620 | Tara M Wilson | Specialist/Technologist, Other | 13430 N Meridian St, Suite 275, Carmel, IN 46032-1405 | 2009-04-01 |
| 1063654507 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 13430 N Meridian St, Suite 204, Carmel, IN 46032-1484 | 2009-03-30 |
| 1942483318 | Advanced Migraine Care, P.C. | Psychiatry & Neurology | 13430 N Meridian St, Suite 165, Carmel, IN 46032-1405 | 2007-12-08 |
| 1295915148 | American Health Network of Indiana, LLC | Internal Medicine | 13430 N Meridian St, Carmel, IN 46032-1405 | 2007-11-08 |
| 1851475362 | Rusty Allen Brownlee | Specialist/Technologist, Other | 13430 N Meridian St, Ste 364, Carmel, IN 46032-1405 | 2006-10-24 |
| 1376655613 | Meridian Surgical Group, Inc | Surgery | 13430 N Meridian St, Suite 275, Carmel, IN 46032-1405 | 2006-08-31 |
| 1598873390 | Carmel Surgical Specialists, PC | Specialist | 13430 N Meridian St, Suite 275, Carmel, IN 46032-1405 | 2006-08-29 |
| 1639101058 | David Diaz | Surgery | 13430 N Meridian St, Suite 275, Carmel, IN 46032-1405 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699258483 | Kristina Ann Vannatta | Physician Assistant | 13430 N Meridian St Ste 275, Carmel, IN 46032-1484 | 2018-09-08 |
| 1861941221 | Sarah E. Rooksberry | Physician Assistant | 13345 Illinois St, Carmel, IN 46032-3318 | 2016-09-27 |
| 1366753246 | Kami C Shaw | Physician Assistant | 13430 N Meridian St, Suite 275, Carmel, IN 46032-1405 | 2010-06-25 |
| 1336396233 | Paula Haffley | Physician Assistant | 11725 N Illinois Street, Suite 350, Carmel, IN 46032-3009 | 2008-08-21 |
| 1285820878 | Lindsay Belk Johnson | Physician Assistant | 12188b N Meridian St Ste 250, Carmel, IN 46032 | 2007-09-18 |
| 1619168713 | Physician Assistant Surgical Services, Inc | Physician Assistant | 12360 Creekwood Ln, Carmel, IN 46032-8287 | 2007-08-05 |
| 1730102013 | Diana Basini | Physician Assistant | 664 Stoneleigh Ave Ste 300, Carmel, NY 10512-3990 | 2006-07-26 |
| 1538182720 | Carmine Spadaccini | Physician Assistant | 664 Stoneleigh Ave Ste 300, Carmel, NY 10512-3990 | 2006-07-26 |
| 1386668028 | Ronald A West | Physician Assistant | 13431 Old Meridian St, Suite 200, Carmel, IN 46032-7101 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289957 | Jordan Nickley Nemer | Physician Assistant | 270 E Day Rd Ste 200, Mishawaka, IN 46545-3444 | 2019-11-07 |
| 1760947329 | Ellen M Randall | Physician Assistant | 705 Riley Hospital Dr Ste 2514, Indianapolis, IN 46202-5109 | 2019-02-07 |
| 1710459839 | Alyssa Tripp | Physician Assistant | 1007 Lincolnway Rm 1107, La Porte, IN 46350-3201 | 2018-12-31 |
| 1992283899 | Kelsey Arnold | Physician Assistant | 275 W Bassett Rd Ste 2, Shelbyville, IN 46176-8575 | 2018-08-02 |
| 1396249926 | Deaconess Specialty Physicians, Inc | Physician Assistant | 1813 Willow St Ste 5a, Vincennes, IN 47591-4279 | 2018-03-20 |
| 1477924892 | Kristen Marie Ness | Physician Assistant | 13100 E 136th St Ste 2000, Fishers, IN 46037-9440 | 2015-10-12 |
| 1982945960 | Heather Bunnell | Physician Assistant | 3943 Hay Market Dr, Jeffersonville, IN 47130-8260 | 2013-03-15 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| 1427364926 | Rebecca Lou Autry | Physician Assistant | 10081 Fredericksburg Rd Nw, Depauw, IN 47115-8629 | 2010-08-23 |
| 1558685495 | Douglas D Kesler | Physician Assistant | 1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 | 2010-03-22 |
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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.