CAROLE BRADLEY (NPI# 1427679950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427679950 |
| Entity Type | Individual |
| Full Name | CAROLE BRADLEY |
| Practice Address |
3289 Penrod Ln Spc 12 Gardnerville NV 89410-7055 |
| Mailing Address |
1005 Terminal Way Ste 125 Reno NV 89502-2198 |
| Practice Telephone | 7752669128 |
| Mailing Telephone | 8777864999 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932162534 | Carole Leigh Bradley | Pharmacist | 915 N Grand Blvd, Pharmacy 119jc, Saint Louis, MO 63106-1621 | 2006-04-07 |
| Street Address |
3289 PENROD LN SPC 12 |
| City | GARDNERVILLE |
| State | NV |
| Zip Code | 89410-7055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931127 | Hayes Robert Wilson | Physician Assistant | 1107 Highway 395 North, Gardnerville, NV 89410 | 2019-09-17 |
| 1609361088 | Douglas County and Unincorporated Towns | Substance Abuse Rehabilitation Facility | China Spring Youth Camp Adapt, 225 China Spring Road, Gardnerville, NV 89410 | 2018-06-27 |
| 1306338215 | Douglas Co and Unincorporated Towns | Psychiatric Residential Treatment Facility | 225 China Spring Rd, Gardnerville, NV 89410 | 2018-06-06 |
| 1245787308 | Debra M Robison | Pharmacist | 1363 Hwy 395 North, Raley's #109 Pharmacy, Gardnerville, NV 89410 | 2016-09-07 |
| 1346573268 | Cynthia Suzanne Tarantino-fernandez | Social Worker | 1296 Bray Way, Gardnerville, NV 89410 | 2009-09-10 |
| 1750531398 | Paul Williams Phillips Jr. | Orthopaedic Surgery | 1524 Us Hwy 395 Ste 2, Gardnerville, NV 89410 | 2008-09-19 |
| 1033316054 | Barbara Ellen Gould | Physical Therapist | 1107 Highway 395 South, Gardnerville, NV 89410 | 2007-07-02 |
| 1992916019 | Diane G. Oliver, Md | Pathology | 1107 Highway 395 S, Department of Pathology, Gardnerville, NV 89410 | 2007-05-24 |
| 1346460656 | Ricky Shigeru Miyashiro | Physical Therapist | 1107 Hwy 395 S, Gardnerville, NV 89410 | 2007-04-27 |
| 1467679217 | Stuart Sumner Drange | Dentist | 1480 Main Street, Hwy 395, Gardnerville, NV 89410 | 2007-04-20 |
| Find all providers in zip 89410 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288989 | Ta Lisa Allen | Technician | 1373 Toiyabe Ave, Gardnerville, NV 89410-5339 | 2020-06-01 |
| 1235758392 | Martin Valenzuela | Technician | 27 Conner Way, Gardnerville, NV 89410-5557 | 2020-04-09 |
| 1699318535 | Tami Denhoff | Technician | 1300 Jo Ln, Gardnerville, NV 89410-7941 | 2019-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396628 | Jill Azevedo | Technician | 6300 Black Mesa Ct, Las Vegas, NV 89142-7919 | 2020-11-06 |
| 1861093072 | Nakia T Newson | Technician | 3033 Little Crimson Ave, North Las Vegas, NV 89081-6584 | 2020-11-04 |
| 1396346409 | Johanna Dwyer | Technician | 5755 E Lake Mead Blvd Apt D, Las Vegas, NV 89156-6859 | 2020-11-04 |
| 1063013274 | Lloyd Major | Technician | 3830 University Center Dr Apt 318, Las Vegas, NV 89119-7420 | 2020-11-04 |
| 1861093239 | Raiquave Morgan | Technician | 5256 Tamarus St Apt B, Las Vegas, NV 89119-5047 | 2020-11-03 |
| 1669073250 | Chrissy Bowser | Technician | 3355 Spg Mnt Rd Ste 67, Las Vegas, NV 89102-8633 | 2020-11-02 |
| 1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
| 1427657196 | Hector Querubin | Technician | 5400 S Maryland Pkwy Apt 165, Las Vegas, NV 89119-2642 | 2020-10-22 |
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | GARDNERVILLE |
| Zip Code | 89410 |
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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.