KRISTEN BRADLEY (NPI# 1497239891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497239891 |
| Entity Type | Individual |
| Full Name | KRISTEN BRADLEY |
| Credential | BSN, RNFA, ONC, CNOR |
| Practice Address |
3650 Laurel St Beaumont TX 77707-2216 |
| Practice Telephone | 4098380346 |
| Mailing Telephone | 4098380346 |
| Mailing Fax Number | 4098133546 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0800X |
Registered Nurse Specialization: Orthopedic |
804593 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780070888 | Kristen Bradley | Counselor | 2819 Nw Kitsap Place, Suite 2b, Silverdale, WA 98383 | 2015-04-15 |
| 1083980460 | Kristen Jill Bradley | Dietitian, Registered | 437 Andre Hl, Northvale, NJ 07647-1300 | 2012-03-29 |
| 1013539907 | Kristen Rogers Bradley | Nurse Practitioner | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2020-05-13 |
| 1114392545 | Kristen Scott Bradley | Nurse Anesthetist, Certified Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2015-12-10 |
| 1578964417 | Kristen Nicole Bradley | Registered Nurse | 4420 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2014-09-10 |
| 1497987267 | Kristen Marie Bradley | Dietitian, Registered | 334 Samuel Dr, Yuba City, CA 95991-6325 | 2009-08-12 |
| 1093842734 | Kristen Elizabeth Bradley | Speech-Language Pathologist | 1829 E Franklin St, Bldg. # 600, Chapel Hill, NC 27514-5861 | 2007-02-28 |
| Street Address |
3650 LAUREL ST |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346224359 | Sezefredo Paulo Depaiva | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2005-12-02 |
| 1316561715 | Brittany Paige Ellis | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2020-06-01 |
| 1952865552 | Katie C Holmes | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2019-01-28 |
| 1619454220 | Traci Ann Rizk | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2018-07-26 |
| 1578076972 | Jason Sikes | Nurse Practitioner | 3650 Laurel St, Beaumont, TX 77707-2216 | 2017-11-08 |
| 1639431661 | Darryl Thomas Blalock | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2012-06-14 |
| 1447512843 | Jeffrey Craig Humphrey | Nurse Practitioner | 3650 Laurel St, Beaumont, TX 77707-2216 | 2012-06-12 |
| 1679880785 | Jessica Joanne Bobinger | Specialist/Technologist, Other | 3650 Laurel St, Beaumont, TX 77707-2216 | 2010-09-10 |
| 1972833085 | Audrey Helen Reyenga | Physician Assistant | 3650 Laurel St, Beaumont, TX 77707-2216 | 2010-01-12 |
| 1417286261 | Dee Ann Vines | Licensed Vocational Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2009-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
| 1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
| 1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
| 1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
| 1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| Find all providers in zip 77707 | ||||
| Taxonomy Code | 163WX0800X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316410780 | Melanie Nicole Kirkland | Registered Nurse | 901 W 1st St Apt 1219, Fort Worth, TX 76102-2762 | 2019-01-08 |
| 1962646224 | John Thomas Petersen | Registered Nurse | 1901 Medi Park Dr Ste 2051, Amarillo, TX 79106-2169 | 2009-04-29 |
| 1972583482 | Sandra Michelle Burke | Registered Nurse | 5618 Medical Center Dr, Katy, TX 77494-6308 | 2006-01-19 |
| 1801451661 | Suby Kurian | Registered Nurse | 6411 Fannin St, Houston, TX 77030-1501 | 2019-05-07 |
| 1659836344 | Lillykutty J Jacob | Registered Nurse | 6411 Fannin St, Houston, TX 77030-1501 | 2019-02-06 |
| 1659753317 | Ian Bauer | Registered Nurse | 6550 Fannin St Ste 2600, Houston, TX 77030-2750 | 2015-06-18 |
| 1225335615 | Russell Ramirez | Registered Nurse | 3501 S Soncy Rd, Suite 129, Amarillo, TX 79119-6407 | 2011-02-21 |
| 1932434750 | Matthew Wilder Thayer | Registered Nurse | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2009-10-13 |
| 1639369374 | Dawn Marie Lowe | Registered Nurse | 6400 Fannin St, Suite 1620, Houston, TX 77030-1521 | 2007-07-30 |
| 1992829378 | Brenda Navarrete | Registered Nurse | 2700 W Pleasant Run Rd, Suite 210, Lancaster, TX 75146-1079 | 2007-03-19 |
| Find all providers with the same taxonomy | ||||
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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.