BRADELLE LENNI PADON (NPI# 1427332378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427332378 |
Entity Type | Individual |
Full Name | BRADELLE LENNI PADON |
Credential | ANP |
Practice Address |
3245 Hospital Dr Juneau AK 99801-7809 |
Mailing Address |
3100 Channel Dr Ste 300 Juneau AK 99801-7837 |
Practice Telephone | 9074634040 |
Mailing Telephone | 9074634040 |
Enumeration Date | 2011-10-10 |
Last Update Date | 2015-10-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 33465 | AK | Nursing Service Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1411 | AK | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3245 HOSPITAL DR |
City | JUNEAU |
State | AK |
Zip Code | 99801-7809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538167044 | Timothy H Strand | Optometrist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2005-07-08 |
1770105579 | Dillon J Covey | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2020-05-14 |
1114552304 | Rachel Noelani Jahraus | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2020-03-08 |
1134782550 | Danna Madeline Lehneis | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2019-04-22 |
1346703501 | Rhett Allen Berg | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2019-04-12 |
1366936304 | Kaela Burke | Community Health Worker | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2018-06-21 |
1346781291 | Rochell Burke | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2017-03-12 |
1083153134 | Kristin Johanson | Community Health Worker | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2017-02-21 |
1760840110 | Kelly O'shaughnessy | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2016-01-31 |
1871950386 | Sarah Frampton | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2016-01-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
Find all providers in zip 99801 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720635840 | Power of Wellness Health Services LLC | Nurse Practitioner | 3258 Tongass Ave., Ketchikan, AK 99901-6544 | 2019-08-22 |
1053505206 | Henrietta Emokidi | Nurse Practitioner | 11432 Business Blvd Ste 4, Eagle River, AK 99577 | 2007-08-30 |
1285833103 | All Seasons Family Health Care | Nurse Practitioner | 5461 E Mayflower Ln, Suite 4, Wasilla, AK 99654-7817 | 2007-07-11 |
1528557683 | Sheena Eisen H Adrados | Nurse Practitioner | 7000 Uula St, Barrow, AK 99723 | 2018-05-04 |
1740785344 | Nova Wellness Solutions, LLC | Nurse Practitioner | 110 N Willow St Ste 130, Kenai, AK 99611-7797 | 2018-03-26 |
1073050373 | Brianna Clendenin | Nurse Practitioner | 800 Cordova St, Anchorage, AK 99501-3717 | 2017-01-24 |
1275985152 | Monica Wyatt | Nurse Practitioner | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2016-07-05 |
1851532576 | Sabrina Sonia Yoder | Nurse Practitioner | 2650 E Broadview Ave, Wasilla, AK 99654-8302 | 2009-03-09 |
1780855130 | All Seasons Family Healthcare LLC | Nurse Practitioner | 5461 E Mayflower Ln, Suite 4, Wasilla, AK 99654-7817 | 2008-03-13 |
1336289321 | Susan Oliver | Nurse Practitioner | 3760 Piper Street, Suite 1087, Anchorage, AK 99504 | 2007-02-07 |
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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.