SIERRA BRADEEN (NPI# 1548797392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548797392 |
Entity Type | Individual |
Full Name | SIERRA BRADEEN |
Practice Address |
1515 7th St Elko NV 89801-2859 |
Mailing Address |
720 Sterling Dr Spring Creek NV 89815-6211 |
Practice Telephone | 7752993738 |
Mailing Telephone | 7753973486 |
Enumeration Date | 2017-05-11 |
Last Update Date | 2020-11-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 1780936435 | 05 |
Street Address |
1515 7TH ST |
City | ELKO |
State | NV |
Zip Code | 89801-2859 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295156487 | Lisa Wilkinson | Social Worker | 1515 7th St, Elko, NV 89801-2859 | 2013-12-15 |
1952910697 | Daylisi Talavera-hernandez | Counselor | 1515 7th St, Elko, NV 89801-2859 | 2020-07-29 |
1205453339 | Julie Gail Byrnes | Counselor | 1515 7th St, Elko, NV 89801-2859 | 2020-07-06 |
1821613787 | Stacy Rice | Case Manager/Care Coordinator | 1515 7th St, Elko, NV 89801-2859 | 2020-06-16 |
1356966253 | Donna Snow | Technician | 1515 7th St, Elko, NV 89801-2859 | 2020-06-16 |
1255967840 | Jerilyn Watson | Social Worker | 1515 7th St, Elko, NV 89801-2859 | 2020-03-16 |
1912544990 | Julia Unruh | Technician | 1515 7th St, Elko, NV 89801-2859 | 2019-12-09 |
1134764046 | Tove Dalgliesh | Technician | 1515 7th St, Elko, NV 89801-2859 | 2019-11-14 |
1982258133 | Cortney Nichole Dickenson | Social Worker | 1515 7th St, Elko, NV 89801-2859 | 2019-07-26 |
1306346952 | Us Holdings LLC | Community/Behavioral Health | 1515 7th St, Elko, NV 89801-2859 | 2018-02-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043780638 | Ashleigh Unique Hopson | Behavior Technician | 764 S 5th St #23, Elko, NV 89801 | 2018-11-27 |
1457829822 | Asuzena Cruz Lopez | Behavior Technician | 250 Lamoille Hw, Suite 103, Elko, NV 89801 | 2018-11-05 |
1326542770 | Iona Michelle Weeks | Nurse Practitioner | 1993 Errecart Blvd., Elko, NV 89801 | 2018-03-21 |
1720588395 | Arturo Ruiz Jr. | Behavior Technician | 251 West River #26, Elko, NV 89801 | 2018-02-20 |
1942748231 | Mhm Solution Inc | Early Intervention Provider Agency | 2350 North 5th Street, Elko, NV 89801 | 2017-02-07 |
1861842064 | Daniel Honneyman | Emergency Medicine | Northeastern Regional Hospital, 2001 Errecart Blvd, Elko, NV 89801 | 2016-06-17 |
1265898068 | Full Range Physical Therapy, LLC | Clinic/Center | 620 S. 12th St. Ste. 110, Elko, NV 89801 | 2016-01-08 |
1932577889 | Brandie Lee Oros | Nurse Practitioner | 160 12th Street, Elko, NV 89801 | 2015-09-09 |
1770900441 | Sarah Jean Martinez | Physical Therapist | 620 S. 12th St., Ste. 110, Elko, NV 89801 | 2014-03-19 |
1841627916 | Ron Zedek Md PC | Counselor | 1250 Lamoille Ave Ste 103, Elko, NV 89801 | 2013-10-03 |
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Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033922 | Ruby Mountain Recovery | Rehabilitation Practitioner | 1009 Silver St, Elko, NV 89801-3936 | 2020-11-07 |
1134675887 | Rachael Williamson | Rehabilitation Practitioner | 200 Ash Street Apt 6, Elko, NV 89801-3176 | 2016-08-31 |
1326493735 | Jordan Holbrook | Rehabilitation Practitioner | 1525 Opal Dr Unit G200, Elko, NV 89801-3452 | 2016-05-04 |
1710381884 | Denise Perry | Rehabilitation Practitioner | 405 Idaho St Ste 216, Elko, NV 89801-3753 | 2014-10-17 |
1396164323 | Margaret Marcucci | Rehabilitation Practitioner | 207 Mountain City Hwy Unit 13, Elko, NV 89801-9514 | 2014-04-07 |
1326430273 | Kelli Brough | Rehabilitation Practitioner | 405 Idaho St, Suite 216, Elko, NV 89801-3765 | 2015-03-02 |
1861896706 | Marlene Dick | Rehabilitation Practitioner | 405 Idaho St Ste 216, Elko, NV 89801-3753 | 2014-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427656438 | Brittney Mary Sobwick | Rehabilitation Practitioner | 8360 W Sahara Ave Ste 230, Las Vegas, NV 89117-8945 | 2020-10-12 |
1750992210 | Erin Heffelfinger | Rehabilitation Practitioner | 550 Marina Gateway Dr, Apt 1432, Sparks, NV 89434 | 2020-08-10 |
1891305231 | Tony Jones | Rehabilitation Practitioner | 80 S Gibson Rd Apt 2215, Henderson, NV 89012-2441 | 2020-07-31 |
1184234544 | Karina Mandello | Rehabilitation Practitioner | 8250 N Grand Canyon Dr Unit 2121, Las Vegas, NV 89166-3734 | 2020-07-31 |
1730797408 | Jeffrey Michael Stovall | Rehabilitation Practitioner | 7037 Fort Union Ct, Las Vegas, NV 89179-1206 | 2020-07-20 |
1194333716 | Francisco Javier Robles | Rehabilitation Practitioner | 2810 W Charleston Blvd Ste H77, Las Vegas, NV 89102-1921 | 2020-07-20 |
1073121836 | Genna Villanueva | Rehabilitation Practitioner | 6612 Sand Bench Ave, Las Vegas, NV 89130-4801 | 2020-07-17 |
1861000895 | Carolyn Mccrae | Rehabilitation Practitioner | 11245 Vintners Ln, Las Vegas, NV 89138-1503 | 2020-07-15 |
1932727765 | Orlando Centeno Ramos | Rehabilitation Practitioner | 430 Federal St, Henderson, NV 89015-7323 | 2020-07-08 |
1871119404 | Andrew Hunt | Rehabilitation Practitioner | 9557 Green Spruce St, Las Vegas, NV 89123-3573 | 2020-06-19 |
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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.