BRADELLE LENNI PADON


Address: 3245 Hospital Dr, Juneau, AK 99801-7809
Phone: 9074634040

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 3245 HOSPITAL DR
City JUNEAU
State AK
Zip Code 99801-7809

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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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Competitor

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City JUNEAU
Zip Code 99801

Improve Information

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Dataset Information

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.

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