ANGELA R. BRADSHAW (NPI# 1508827031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508827031 |
| Entity Type | Individual |
| Full Name | ANGELA R. BRADSHAW |
| Credential | MCD,CCC-SLP |
| Practice Address |
1298 Hillcrest Dr Piggott AR 72454-3121 |
| Practice Telephone | 8705983049 |
| Mailing Telephone | 8705983049 |
| Enumeration Date | 2006-04-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SP1632 | AR | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUECROSS BLUE SHIELD | 5W969 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922451798 | Angela Bradshaw | Nurse's Aide | 333 Southridge Rd, Tahlequah, OK 74464-5799 | 2016-07-18 |
| 1861803249 | Angela Bradshaw | Registered Nurse | 3074 Hickory Valley Rd, Chattanooga, TN 37421-1265 | 2014-05-19 |
| Street Address |
1298 HILLCREST DR |
| City | PIGGOTT |
| State | AR |
| Zip Code | 72454-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619519436 | Donna Ring Corporation | Pharmacy | 138 S 2nd, Piggott, AR 72454 | 2019-10-14 |
| 1346545480 | Brandi Sue Johnson | Case Manager/Care Coordinator | 318 East Poplar, Piggott, AR 72454 | 2011-01-21 |
| 1881845758 | Kimberley Jo Donner | Nurse Practitioner | 1009 South Garfield, Piggott, AR 72454 | 2008-10-09 |
| 1679723225 | Charlotte Ann Featherston | Counselor | 318 East Poplar Street, Piggott, AR 72454 | 2008-09-19 |
| 1174772180 | Matthew Nicholas Yount | Social Worker | 318 E Poplar St, Piggott, AR 72454 | 2008-09-15 |
| 1437330701 | Freds Stores of Tennessee, Inc. | Durable Medical Equipment & Medical Supplies | 303 East Main St, Piggott, AR 72454 | 2007-11-15 |
| 1124342530 | Richard Paul Slayton | Case Manager/Care Coordinator | 318 E Poplar St, Piggott, AR 72454 | 2010-03-15 |
| 1639123425 | Stephen Edward White | Dentist | 416 W Cherry St, Piggott, AR 72454-1533 | 2006-05-19 |
| 1326059171 | Doctors Health Group Inc | Family Medicine | 425 West Jackson, Piggott, AR 72454-1538 | 2006-08-10 |
| 1720095599 | Dennis N Blake | Family Medicine | 425 W Jackson St, Piggott, AR 72454-1538 | 2006-08-02 |
| Find all providers in zip 72454 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557143 | Christie Abella | Specialist/Technologist | 2006 Goodfellow Road, Star City, AR 71667 | 2020-08-06 |
| 1205475639 | Kayla Marie Riddle | Specialist/Technologist | 2700 N Prickett Rd Ste 2b, Bryant, AR 72022-7511 | 2020-01-02 |
| 1417590993 | Skylar Baker | Specialist/Technologist | 212 Scoby Dr, Warren, AR 71671-2050 | 2019-10-28 |
| 1669025045 | Alexis Davis | Specialist/Technologist | 185 Cornerstone Blvd, Hot Springs, AR 71913-6500 | 2019-07-24 |
| 1730646753 | Abigail Kathryn Arterbury | Specialist/Technologist | 3010 Highway 22 E Ste A, Branch, AR 72928-9648 | 2019-02-26 |
| 1568939700 | Rachel Ann Clayton | Specialist/Technologist | 735 Robin St, Camden, AR 71701-6834 | 2018-10-25 |
| 1285112888 | Briana Lanay Hatcher | Specialist/Technologist | 801 Deadrick Rd., Forrest City, AR 72335 | 2018-08-06 |
| 1336636000 | Ashley Napurano | Specialist/Technologist | 9505 Chad Colley Blvd Apt 3407, Fort Smith, AR 72916-5821 | 2018-04-18 |
| 1285146142 | Shelby Michelle Petersen | Specialist/Technologist | 10310 W Markham St Ste 205, Little Rock, AR 72205-1579 | 2017-11-01 |
| 1578087763 | Shane Worthington | Specialist/Technologist | 712 Calvin Avery Dr Ste C, West Memphis, AR 72301-6515 | 2017-07-28 |
| 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.