MS. CONSTANCE BRADLEY (NPI# 1528546363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528546363 |
| Entity Type | Individual |
| Full Name | MS. CONSTANCE BRADLEY |
| Practice Address |
1415 College Dr Meridian MS 39307-5345 |
| Practice Telephone | 6014834821 |
| Mailing Telephone | 6014834821 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
902831 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743477 | Constance Bradley | Home Health | 4736 E 174th St, Cleveland, OH 44128-3924 | 2019-01-03 |
| 1215458047 | Constance Bradley | Acupuncturist | 7147 E Rancho Vista Dr Ste B29, Scottsdale, AZ 85251-1773 | 2017-07-01 |
| 1093071797 | Constance Bradley | Home Health Aide | 1707 L St Nw, Suite 900, Washington, DC 20036-4201 | 2012-04-06 |
| Street Address |
1415 COLLEGE DR |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39307-5345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841273885 | Stephanie L Cooper | Psychologist | 1415 College Dr, Meridian, MS 39307-5345 | 2005-11-23 |
| 1295246551 | Jessica Pettis Curry | Registered Nurse | 1415 College Dr, Meridian, MS 39307-5345 | 2017-10-13 |
| 1164931952 | Region Ten State of Ms | Clinic/Center | 1415 College Dr, Meridian, MS 39307-5345 | 2017-09-25 |
| 1598297392 | Aurthur Goodwin | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2017-03-30 |
| 1528505021 | Tracy Smith | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2017-01-23 |
| 1033563432 | Jessica Mccoy | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2016-04-21 |
| 1780068056 | Amelia Margaret Kelley | Nurse Practitioner | 1415 College Dr, Meridian, MS 39307-5345 | 2015-07-16 |
| 1427446558 | Laquita Bush | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2014-12-23 |
| 1952707267 | Lasherish Derrick | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2014-11-13 |
| 1346645819 | Jonnie Hardy | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2014-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824232 | Erica Sheree Smith | Registered Nurse | 1818 College Dr, Meridian, MS 39307 | 2020-02-25 |
| 1518481480 | Derrick Pringle | Social Worker | 110 48th Ave, Meridian, MS 39307 | 2017-08-01 |
| 1821519547 | Leslie Rutkowski | Student in an Organized Health Care Education/Training Program | 2514 67th Avenue Loop Suite 112, Meridian, MS 39307 | 2017-07-03 |
| 1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
| 1548533672 | Carvan Lorraine Carter | Counselor | 1807 39th Pl, Meridian, MS 39307 | 2012-02-21 |
| 1699921148 | Sara B Smith | Counselor | 1415 College Drive, Meridian, MS 39307 | 2008-08-15 |
| 1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
| 1720694029 | Michelle Gomez Dickerson | Registered Nurse | 1818 College Drive, Meridian, MS 39307 | 2020-09-22 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| Find all providers in zip 39307 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1386020592 | Evelyn Michele Dunn | Nurse Practitioner | 10641 Highway 80 East, Meridian, MS 39307-9256 | 2015-08-11 |
| 1174909865 | Priscilla May Mathis | Nurse Practitioner | 4973 C A Pickard Rd, Meridian, MS 39301-9031 | 2015-08-04 |
| 1134497464 | Rebekah Danielle Nation | Nurse Practitioner | 1404 N Main St, Suite 101, Meridian, ID 83642-2799 | 2011-12-01 |
| 1053691980 | Carrie Kay Bowman | Nurse Practitioner | 1944 N Hillmont Ave, Meridian, ID 83646-1385 | 2011-08-23 |
| 1700865235 | Stacy Rae Andreacchio | Nurse Practitioner | 5004 Highway 39 N, Meridian, MS 39301-1021 | 2006-01-12 |
| 1205461167 | Portia Elaine Nunley | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301-8205 | 2020-03-10 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1629600721 | Shauntae Causey | Nurse Practitioner | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2020-02-06 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| Find all providers in MERIDIAN | ||||
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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.