KRISTIN BRADSHAW (NPI# 1568975183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568975183 |
| Entity Type | Individual |
| Full Name | KRISTIN BRADSHAW |
| Other Name | KRISTIN SCHUTTE |
| Credential | FNP-C |
| Practice Address |
100 Medical Dr Hannibal MO 63401-6877 |
| Practice Telephone | 5732215250 |
| Mailing Telephone | 5732215250 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2017038785 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MISSOURI CERTIFIED NURSE PRACTITIONER LICENSE | 2017038785 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881016681 | Kristin Bradshaw | Physical Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2014-01-13 |
| 1962479345 | Kristin Ann Brooks Bradshaw | Occupational Therapist | 1327 Kalakaket Street, Fairbanks, AK 99709 | 2006-03-03 |
| Street Address |
100 MEDICAL DR |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401-6877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841299161 | Bryson Roy Mchardy Jr. | Pediatrics | 100 Medical Dr, Hannibal, MO 63401-6877 | 2005-07-19 |
| 1164023644 | Kelli Eagan | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2020-11-02 |
| 1174002232 | Stacy L Johnson | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2018-08-09 |
| 1770096513 | Jennifer Sue Myers | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-11-15 |
| 1629581947 | Mitzi Buckman | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-11-08 |
| 1902316607 | Patsy J Hudson | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-10-07 |
| 1164959862 | Alexis Niemann Kirner | Audiologist | 100 Medical Dr, Hannibal, MO 63401 | 2017-05-12 |
| 1477914885 | Janae Suzann Robertson | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2016-03-11 |
| 1942668819 | Lauren N. Brandenburger | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2016-02-05 |
| 1790158087 | Quincy Physicians & Surgeons Clinic, Sc | Durable Medical Equipment & Medical Supplies | 100 Medical Dr, Hannibal, MO 63401-6877 | 2015-11-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
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| 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 |
|---|---|---|---|---|
| 1558530196 | Dolores Edith Haynes | Nurse Practitioner | 6000 Hosptial Drive, Hannibal, MO 63401 | 2008-02-28 |
| 1033572938 | Melissa L Reynolds | Nurse Practitioner | 6500 Hospital Dr, Hannibal, MO 63401-6890 | 2016-03-30 |
| 1508874736 | Kathleen E Haycraft | Nurse Practitioner | 163 Medical Dr, Hannibal, MO 63401-6884 | 2006-08-03 |
| 1669489811 | Claudia Lynne Timbrook | Nurse Practitioner | 6000 Hospital Drive, Hannibal, MO 63401 | 2006-08-01 |
| 1063489441 | Lynn M Shima | Nurse Practitioner | 6500 Hospital Dr, Hannibal, MO 63401-6890 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899614 | Holly Maria Adams | Nurse Practitioner | 724 Highway H, Neelyville, MO 63954-9206 | 2020-10-22 |
| 1235737982 | Katie Ann Allen | Nurse Practitioner | 24583 Tigger, Saint Robert, MO 65584-3806 | 2020-10-14 |
| 1184221160 | Zachary Wade Orr | Nurse Practitioner | 1622 S 18th St, Saint Louis, MO 63104-2504 | 2020-10-02 |
| 1538766514 | Martha Lorraine Courdin-whitson | Nurse Practitioner | 386 Caudill Way, Branson, MO 65616-8686 | 2020-10-02 |
| 1225645393 | Carlee Rozell | Nurse Practitioner | 2522 Equine Valley Rd, Nixa, MO 65714-6101 | 2020-09-23 |
| 1841806551 | Pamela Louise Smith | Nurse Practitioner | 1605 E Broadway Ste 100, Columbia, MO 65201-8023 | 2020-09-17 |
| 1073128518 | Christen Rincker | Nurse Practitioner | 2343 Hickory St, Saint Louis, MO 63104-2418 | 2020-09-11 |
| 1396357141 | Melissa Ann Lovins-bewley | Nurse Practitioner | 14484 County Road 640, Dexter, MO 63841-8667 | 2020-08-21 |
| 1508477688 | Jessica Nicole Whiteman | Nurse Practitioner | 3110 Duncan St, Saint Joseph, MO 64507-1863 | 2020-08-12 |
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
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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.