MRS. REATHA JEANNETTE BRADBERRY I (NPI# 1548219876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548219876 |
Entity Type | Individual |
Full Name | MRS. REATHA JEANNETTE BRADBERRY I |
Credential | FNP |
Practice Address |
3838 W Park Ave Orange TX 77630-1812 |
Practice Telephone | 4098868700 |
Practice Fax Number | 4098865305 |
Mailing Telephone | 4098868700 |
Mailing Fax Number | 4098865305 |
Enumeration Date | 2006-05-05 |
Last Update Date | 2008-12-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 561891 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 161031301 | 05 | |
TX | WORKERS COMPENSATION | 760357897 | 01 |
Street Address |
3838 W PARK AVE |
City | ORANGE |
State | TX |
Zip Code | 77630-1812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457702540 | Amber Renee Peveto | Nurse Practitioner | 3838 W Park Ave, Orange, TX 77630-1812 | 2016-06-29 |
1659741957 | Lou Randall Locke | Nurse Practitioner | 3838 W Park Ave, Orange, TX 77630-1812 | 2015-09-29 |
1295105591 | Reliable Family Wellness, P.l.l.c. | Nurse Practitioner | 3838 W Park Ave, Orange, TX 77630-1812 | 2015-09-29 |
1811137078 | Reatha S Bradberry Fnp-c LLC | Nurse Practitioner | 3838 W Park Ave, Orange, TX 77630-1812 | 2009-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548685159 | Healthcare Warehouse, LLC | Durable Medical Equipment & Medical Supplies | 3515 Mockingbird St. Ste C, Orange, TX 77630 | 2014-02-19 |
1346688637 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 1302 Cypress St., Orange, TX 77630 | 2013-06-07 |
1740567510 | Mary Cannatella | Pharmacist | 1408 16th Street, Orange, TX 77630 | 2011-11-08 |
1811292642 | Inlightened Safe Haven | Contractor | 828 Nth 28th St., Orange, TX 77630 | 2011-01-26 |
1437472107 | Frank's Medical Mart, Inc | Durable Medical Equipment & Medical Supplies | 1619 Strickland Dr, Orange, TX 77630 | 2010-03-09 |
1952427403 | Assisted Living Concepts Inc | Assisted Living Facility | 5301 Meeks Drive, Orange, TX 77630 | 2007-03-22 |
1013033364 | Ronda Lynn Hathaway | Psychologist | 2495 N Mlk Dr, Orange, TX 77630 | 2007-03-21 |
1487790333 | The Eye Place, Inc. | Eyewear Supplier (Equipment, not the service) | 1502 Strickland Dr Ste 2, Orange, TX 77630 | 2007-01-29 |
1538220710 | Sheila R Cole | Nurse Practitioner | 2014 N.10th St., Orange, TX 77630 | 2006-12-12 |
1063583896 | Nina P Scales Leifeste | Dentist | 1509 Burton, Orange, TX 77630 | 2006-11-13 |
Find all providers in zip 77630 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619532546 | Shauna Ann Nelson | Nurse Practitioner | 886 S Ponderosa St, Orange, CA 92866-3431 | 2019-05-06 |
1417382664 | John A Peterson | Nurse Practitioner | 610 Stickland, Suite 320, Orange, TX 77611 | 2013-09-06 |
1073742920 | Shawn Eric Allison | Nurse Practitioner | 628 Azalea Ave, Orange, TX 77630-4514 | 2009-07-13 |
1952557191 | April Ruth Barrio | Nurse Practitioner | 501 City Drive South, Health Care Agency, Orange, CA 92868-3390 | 2008-08-07 |
1225113293 | Mahnaz Baradar | Nurse Practitioner | 845 W La Veta Ave Ste 105, Orange, CA 92868-3930 | 2006-10-26 |
1417053026 | Aiping Dai | Nurse Practitioner | 1310 W Stewart Dr Ste 610, Orange, CA 92868-3857 | 2006-09-15 |
1447295001 | Kathleen Doan | Nurse Practitioner | 331 The City Dr S, Orange, CA 92868-3205 | 2006-06-18 |
1003866195 | Elizabeth Cuevas | Nurse Practitioner | 2607 Western Ave, Orange, TX 77630-6133 | 2006-05-11 |
1568071660 | Elizabeth Ann Custodio | Nurse Practitioner | 170 S Main St, Orange, CA 92868-2801 | 2020-07-24 |
1982244752 | Aimie Angeletti | Nurse Practitioner | 477 Boston Post Rd Ste 2e, Orange, CT 06477-3548 | 2020-01-09 |
Find all providers in ORANGE |
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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.